Individual
MELISSA DAWN CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1340 S SAM HOUSTON BLVD, HOUSTON, MO 65483-2045
(417) 967-0772
Mailing address
PO BOX 1359, AVA, MO 65608-1359
(417) 683-5739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2022008982
MO
Other
Enumeration date
06/02/2021
Last updated
04/28/2022
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