IndividualActive
Crystal Proud, M.D.
NPI 1013159177 · Neurology with Special Qualifications in Child Neurology Physician · Norfolk, VA
Provider details
- NPI number
- 1013159177
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A117087 (CA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense 0101258310 (VA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
850 Southampton Ave
Norfolk, VA 23510-1021
Phone: (757) 668-9920
Fax: (757) 668-9930
Approximate (ZIP-level) locationGet directions
Mailing address
850 Southampton Ave
Norfolk, VA 23510-1021
Registry dates
- Enumerated
- 2009-04-03
- Last updated
- 2015-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.