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Individual

STEPHANIE CRAWFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, APRN

Contact information

Practice address
446 ROBINHOOD LN, HARDY, AR 72542-9032
(815) 262-6518
Mailing address
6834 CANTRELL RD # 1437, LITTLE ROCK, AR 72207-4135
(815) 262-6518

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
277000063
IL
363LF0000X
Family Nurse Practitioner
277000063
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277000063
IL
Enumeration date
04/18/2011
Last updated
06/11/2024
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