Individual
MS. STEPHANIE LEE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1001 W BROADWAY # DE, FARMINGTON, NM 87401-5638
(505) 327-4796
(505) 599-9351
Mailing address
1001 W BROADWAY # DE, FARMINGTON, NM 87401-5638
(505) 327-4796
(055) 999-3515
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
57133
NM
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
57133
NM
Other
Enumeration date
10/11/2019
Last updated
05/16/2024
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