Individual
MRS. AMANDA KIMBLE CRAWFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
8415 GOODWOOD BLVD, STE 100, BATON ROUGE, LA 70806-7851
(225) 765-5633
(225) 765-5634
Mailing address
2051 SILVERSIDE DR, STE 260, BATON ROUGE, LA 70808-9005
(225) 490-6301
(225) 765-9539
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN096204 AP04552
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1468789
—
LA
Enumeration date
07/19/2005
Last updated
09/09/2015
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