Individual
NASTASSJA CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
4340 PARK HEIGHTS AVE, BALTIMORE, MD 21215-6725
(901) 361-9341
Mailing address
135 BENT CREEK LN, JACKSON, TN 38305-2119
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AC005721
MD
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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