Provider Demographics
NPI:1982161337
Name:NAVARRO, CRYSTAL JOHANNA REBECCA (NP)
Entity type:Individual
Prefix:MRS
First Name:CRYSTAL
Middle Name:JOHANNA REBECCA
Last Name:NAVARRO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CRYSTAL
Other - Middle Name:JOHANNA
Other - Last Name:LAHTI AND WARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP
Mailing Address - Street 1:549 E BRAMBLETON AVE
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23510-2905
Mailing Address - Country:US
Mailing Address - Phone:757-393-1136
Mailing Address - Fax:757-533-9441
Practice Address - Street 1:549 E BRAMBLETON AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-2905
Practice Address - Country:US
Practice Address - Phone:757-393-1136
Practice Address - Fax:757-533-9441
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95091676163W00000X
CA95011971363LF0000X
VA0024183153363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse