Individual
FAY HANNAH CRAWSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6800
Mailing address
11551 NUCKOLS RD STE C, GLEN ALLEN, VA 23059-5565
(804) 888-6800
(804) 888-6800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006028
VA
363A00000X
Physician Assistant
PA13643
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA13643
TEXAS MEDICAL BOARD
TX
Enumeration date
12/19/2017
Last updated
02/04/2025
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