Provider Demographics
NPI:1215565460
Name:MCQUISTON, CRYSTAL PARKER (RN)
Entity type:Individual
Prefix:
First Name:CRYSTAL
Middle Name:PARKER
Last Name:MCQUISTON
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:ANN
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:712 SPRINGTIME BLVD SW
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-5107
Mailing Address - Country:US
Mailing Address - Phone:256-550-0131
Mailing Address - Fax:
Practice Address - Street 1:THE COVERY WELLNESS SPA
Practice Address - Street 2:2319 MEMORIAL PKWY SUITE 115
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801
Practice Address - Country:US
Practice Address - Phone:256-489-6365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-31
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-151057163W00000X, 390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No163W00000XNursing Service ProvidersRegistered Nurse