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Crystal Gail Ault, NP-C
Family Nurse Practitioner in Palm Bay, Florida
NPI 1659839579

Crystal Gail Ault is a Family Nurse Practitioner based in Rockledge, FL and is specialized in Family. Crystal Gail Ault practices in Palm Bay, FL and has the professional credentials of NP-C. The NPI Number for Crystal Gail Ault is 1659839579 and holds a License No. 11001227 (Florida).

The current practice location address for Crystal Gail Ault is 1810 Eldron Blvd Se, Palm Bay, FL and can be reached out via phone at 321-434-3430 and via fax at 321-434-3432.

Location: 1810 Eldron Blvd Se, Palm Bay, FL, 32955-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659839579
Provider Name
Crystal Gail Ault
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
1810 Eldron Blvd Se, Palm Bay, FL, 32955-4306
Phone Number
321-434-3430
Fax Number
321-434-3432
Provider Enumeration Date
03/10/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LW950 01 FL MEDICARE
institution
Provider Business Practice Location Address Details
Address
1810 Eldron Blvd Se
City
Palm Bay
State
Florida
Zip
32909
Phone Number
321-434-3430
Fax Number
321-434-3432
person
Provider Business Mailing Address Details
Address
1810 Eldron Blvd Se
City
Palm Bay
State
Florida
Zip
32909
Phone Number
321-434-3430
Fax Number
321-434-3432
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
11001227 (Florida)
Definition
Definition to come...
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