MIKASA L CRAWFORD

SPRINGFIELD, IL
NPI1316486160
Professional NameMIKASA L CRAWFORD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  277002130)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: IL  277002130)
363LF0000X Nurse Practitioner, Family
(Licence: MO  2017004311)
Enumeration Date2017-02-13
Last Update Date2025-07-14
Business Address
Ms. MIKASA L CRAWFORD FNP
701 N 1ST ST
SPRINGFIELD, IL 62781-2844
Phone number: 217-528-7541
Mailing Address
Ms. MIKASA L CRAWFORD FNP
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541