Individual
MARY ANN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4301
Mailing address
7229 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1698
(317) 621-4300
(317) 621-4301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71003067A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639942
ANTHEM
IN
05
—
200975280
—
IN
Enumeration date
12/01/2009
Last updated
02/16/2011
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