Individual
RENAE LOUISE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
560 CRYSTOLA STREET, CALHAN, CO 80808-8699
(719) 347-0100
(719) 347-0851
Mailing address
PO BOX 275, CALHAN, CO 80808-0275
(719) 347-0100
(719) 347-0851
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
128562
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
24406856
—
CO
Enumeration date
06/13/2005
Last updated
02/27/2012
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