Provider Demographics
NPI:1437919925
Name:PRATT, CHRYSTAL ANN (CRNP)
Entity type:Individual
Prefix:
First Name:CHRYSTAL
Middle Name:ANN
Last Name:PRATT
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHRYSTAL
Other - Middle Name:ANN
Other - Last Name:CULP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3113 MCCLELLAN DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-3816
Mailing Address - Country:US
Mailing Address - Phone:724-518-3247
Mailing Address - Fax:
Practice Address - Street 1:707 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1825
Practice Address - Country:US
Practice Address - Phone:724-537-9515
Practice Address - Fax:724-537-9516
Is Sole Proprietor?:No
Enumeration Date:2024-03-21
Last Update Date:2024-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN684716163WP0808X
PASP029064363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health