Basic Information
| Provider Information | |||||||||
| NPI: | 1255947800 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ANDREWS | ||||||||
| FirstName: | CRYSTAL | ||||||||
| MiddleName: | LYNN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1150 7TH ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153701660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7249635769 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1150 7TH ST | ||||||||
| Address2: | |||||||||
| City: | WAYNESBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 153701660 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7246278243 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/18/2020 | ||||||||
| LastUpdateDate: | 09/18/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/18/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | SP022505 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.