Crystal Lyne Carradine, DO - Portsmouth, VA

Crystal Lyne Carradine, DO

Military Health Care Provider in Portsmouth, Virginia

NPI 1659016186

Crystal Lyne Carradine is a Military Health Care Provider based in Girard, VA. Crystal Lyne Carradine practices in Portsmouth, VA and has the professional credentials of DO. The NPI Number for Crystal Lyne Carradine is 1659016186 and holds a License No. (Virginia).

The current practice location address for Crystal Lyne Carradine is 620 John Paul Jones Cir, Portsmouth, VA and can be reached out via phone at 757-953-5000.

Location: 620 John Paul Jones Cir, Portsmouth, VA, 44420-1260

NPI Number

1659016186

Provider Name

Crystal Lyne Carradine

Credential

Provider Entity Type

Individual

Gender

Female

Address

620 John Paul Jones Cir, Portsmouth, VA, 44420-1260

Phone Number

757-953-5000

Fax Number

Provider Enumeration Date

04/29/2022

Last Update Date

03/10/2024

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Address

620 John Paul Jones Cir

City

Portsmouth

State

Virginia

Zip

23708-2111

Phone Number

757-953-5000

Fax Number

Type

Other Service Providers

Classification

Military Health Care Provider

Speciality

Taxonomy

171000000X

License No.

()

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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