Provider Demographics
NPI:1255657136
Name:CRABTREE, EILZABETH ANN (PARANEDIC, EMS DIREC)
Entity Type:Individual
Prefix:
First Name:EILZABETH
Middle Name:ANN
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PARANEDIC, EMS DIREC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 AIRPORT RD
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:TN
Mailing Address - Zip Code:38570
Mailing Address - Country:US
Mailing Address - Phone:931-239-2112
Mailing Address - Fax:931-403-1677
Practice Address - Street 1:2728 KANASITA DR
Practice Address - Street 2:
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343-4090
Practice Address - Country:US
Practice Address - Phone:931-239-2112
Practice Address - Fax:931-403-1677
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-16
Last Update Date:2010-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN037379343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)