Individual
JOHN MARSHALL CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
484 LUPTON PL, LAS CRUCES, NM 88001-8483
(602) 330-6509
Mailing address
484 LUPTON PL, LAS CRUCES, NM 88001-8483
(602) 330-6509
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
70414
NM
363LF0000X
Family Nurse Practitioner
70414
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2022
Last updated
02/15/2024
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