Provider Demographics
NPI:1437905700
Name:CAAMANO, CRYSTAL ANN (FNP-C)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:ANN
Last Name:CAAMANO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:CRYSTAL
Other - Middle Name:ANN
Other - Last Name:CAAMANO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1504 WISAN CT
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:TN
Mailing Address - Zip Code:37167-6291
Mailing Address - Country:US
Mailing Address - Phone:615-479-1982
Mailing Address - Fax:
Practice Address - Street 1:537 STONECREST PKWY
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:TN
Practice Address - Zip Code:37167-6884
Practice Address - Country:US
Practice Address - Phone:615-220-8417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-27
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNF04240291363LP2300X
TN36328363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care