Individual
AMY MARIE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3800 S NATIONAL AVE STE 400, SPRINGFIELD, MO 65807-5272
(417) 875-2718
(417) 875-3737
Mailing address
PO BOX 9007, SPRINGFIELD, MO 65808-9007
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2021002288
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420092316
—
MO
Enumeration date
01/21/2021
Last updated
02/18/2021
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