Provider Demographics
NPI:1245583954
Name:CRAWFORD, ASHLEY (LNA)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:LNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:592 ROUTE 106 N APT 1
Mailing Address - Street 2:
Mailing Address - City:LOUDON
Mailing Address - State:NH
Mailing Address - Zip Code:03307-1139
Mailing Address - Country:US
Mailing Address - Phone:978-500-6322
Mailing Address - Fax:
Practice Address - Street 1:592 ROUTE 106 N APT 1
Practice Address - Street 2:
Practice Address - City:LOUDON
Practice Address - State:NH
Practice Address - Zip Code:03307
Practice Address - Country:US
Practice Address - Phone:978-500-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH047238-24376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide