NPI 1023561974

Crystal Marie Makinson

Practitioner Case Manager/Care Coordinator Prescott Valley, AZ

Practice location

Address: 8603 E Eastridge Rd Suite a, Prescott Valley, AZ 86314-8562
Phone: (928) 777-3280
Fax: (928) 717-1660
Mailing address: 20639 E Cedar Canyon Dr, Mayer, AZ 86333-2448

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X Licence 7923664 (AZ)

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Registry record

NPI: 1023561974
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2016
Record last updated: 27 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.