Individual
HEATHER NICHOLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1549 AIRPORT BLVD, 340, PENSACOLA, FL 32504-8633
(850) 416-2340
(850) 416-2338
Mailing address
PO BOX 2699, PENSACOLA, FL 32513-2699
(850) 416-2340
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01633283
—
MS
05
—
2129112
—
LA
01
—
59185123
BLUE CROSS
AL
Enumeration date
06/30/2006
Last updated
01/04/2013
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