Individual
REBECCA DIANE CRAWFORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3775 S HIGHLAND DR, SUITE 2, SALT LAKE CITY, UT 84106
(801) 884-8030
Mailing address
3775 S HIGHLAND DR, SUITE 2, SALT LAKE CITY, UT 84106
(801) 884-8030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10331826-4405
UT
363L00000X
Nurse Practitioner
69178
ID
363L00000X
Nurse Practitioner
NUR-APRN-LIC-183916
MT
Other
Enumeration date
08/10/2021
Last updated
03/17/2026
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