Individual
DR. CONNIE LOUISE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., ARNP
Contact information
Practice address
500 8TH AVE., SAM GLENN COMPLEX ROOM 42, LEWISTON, ID 83501
(208) 792-2251
(208) 792-2882
Mailing address
PO BOX 66, POMEROY, WA 99347-0066
(208) 792-2505
(208) 792-2882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17439A
ID
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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