| NPI | 1275164337 |
|---|---|
| Former Name | SHANNON CRAWFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 237213) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: AZ 237213) |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2024-12-23 |