Individual
MS. ASHLEY LAUREN CRABTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Mailing address
56 FRANKLIN ST, WATERBURY, CT 06706-1253
(203) 709-6000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
002836
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008043926
—
CT
01
—
0102836
CONNECTICARE
CT
01
—
1182012
USA
CT
01
—
9443991
AETNA
CT
01
—
PENDING
RR MEDICARE
CT
Enumeration date
02/08/2013
Last updated
09/26/2024
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