Individual
MARY G. CRUTCHFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
4445 CORPORATION LN STE 110, VIRGINIA BEACH, VA 23462-3264
(757) 453-5508
(757) 216-9655
Mailing address
4445 CORPORATION LN STE 110, VIRGINIA BEACH, VA 23462-3264
(757) 453-5508
(757) 216-9655
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024169848
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-022
CHAMPUS/TRICARE
VA
01
—
10090356N
OPTIMA HEALTH
VA
01
—
1366715112
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1366715112
—
VA
05
—
7005918
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
02/09/2012
Last updated
11/30/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us