Individual
DARA M CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10620 PARK RD, STE 202, CHARLOTTE, NC 28210-8472
(704) 667-0920
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16912
WI
363L00000X
Nurse Practitioner
209032587
IL
363L00000X
Nurse Practitioner
Primary
5005891
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100323789
—
WI
Enumeration date
09/29/2012
Last updated
02/05/2026
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