Most Relevant Information
Provider Data
| NPI Number: | 1003562620 |
| Provider Name: | CRYSTAL MARSHALL APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 5776694-3102 |
Most Important Dates
| Enumeration Date: | 02/22/2022 |
| Last Updated: | 12/10/2023 |
Provider Practice Location
4460 S HIGHLAND DR
SALT LAKE CITY
UT
841243543
Practice Location Phone/Fax
| Phone: | 8889494864 |
| Fax: |
Provider Mailing Location
498 N KAYS DR
KAYSVILLE
UT
840374137
Provider Mailing Phone/Fax
| Phone: | 3853821555 |
| Fax: |