Provider Demographics
NPI:1487495206
Name:LLOYD, CRYSTAL KAY (APRN, FNP- C)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:KAY
Last Name:LLOYD
Suffix:
Gender:F
Credentials:APRN, FNP- C
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:KAY
Other - Last Name:VOGUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:54 HOSPITAL DR STE 213
Mailing Address - Street 2:
Mailing Address - City:OSAGE BEACH
Mailing Address - State:MO
Mailing Address - Zip Code:65065-3050
Mailing Address - Country:US
Mailing Address - Phone:573-302-3999
Mailing Address - Fax:
Practice Address - Street 1:54 HOSPITAL DR STE 213
Practice Address - Street 2:
Practice Address - City:OSAGE BEACH
Practice Address - State:MO
Practice Address - Zip Code:65065-3050
Practice Address - Country:US
Practice Address - Phone:573-302-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOF06240160363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily