SearchIdaho363L00000X

Crystal Mcnally

NPI 1538775390 · on the registry since 2020

Practice

Address
5089 Se 1 1/2 Ave
New Plymouth, ID 83655
Phone
(986) 207-1720
Fax
(866) 531-4582

Registry record

Primary taxonomy
363L00000X
363L00000X
Also registered as
363L00000X
Licence states on file
ID, OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-01-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho