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Crystal D Queally, NP
Nurse Practitioner in Worcester, Massachusetts
NPI 1588999122

Crystal D Queally is a Nurse Practitioner based in Boston, MA. Crystal D Queally practices in Worcester, MA and has the professional credentials of NP. The NPI Number for Crystal D Queally is 1588999122 and holds a License No. RN280382 (Massachusetts).

The current practice location address for Crystal D Queally is 55 Lake Ave N, Worcester, MA and can be reached out via phone at 508-334-8515 and via fax at 508-334-6490.

Location: 55 Lake Ave N, Worcester, MA, 02241-5348
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1588999122
Provider Name
Crystal D Queally
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave N, Worcester, MA, 02241-5348
Phone Number
508-334-8515
Fax Number
508-334-6490
Provider Enumeration Date
10/15/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110084400A 05 MA
institution
Provider Business Practice Location Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-8515
Fax Number
508-334-6490
person
Provider Business Mailing Address Details
Address
55 Lake Ave N
City
Worcester
State
Massachusetts
Zip
01655-0002
Phone Number
508-334-8515
Fax Number
508-334-6490
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
RN280382 (Massachusetts)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN280382 (Massachusetts)
Definition
Definition to come...
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