Provider Demographics
NPI:1003181249
Name:CRAWFORD, PATTI (CD(DONA))
Entity Type:Individual
Prefix:
First Name:PATTI
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7820 MUSKET ST APT C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-2820
Mailing Address - Country:US
Mailing Address - Phone:317-435-7567
Mailing Address - Fax:
Practice Address - Street 1:7820 MUSKET ST APT C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-2820
Practice Address - Country:US
Practice Address - Phone:317-435-7567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-21
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula