Provider Demographics
NPI:1285680223
Name:CRAWFORD, SARA AILEEN (NP)
Entity Type:Individual
Prefix:MS
First Name:SARA
Middle Name:AILEEN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MS
Other - First Name:SARA
Other - Middle Name:AILEEN
Other - Last Name:PICARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:2726 N SAGINAW RD
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48640-2633
Mailing Address - Country:US
Mailing Address - Phone:989-839-4560
Mailing Address - Fax:989-839-4565
Practice Address - Street 1:2726 N SAGINAW RD
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640-2633
Practice Address - Country:US
Practice Address - Phone:989-839-4560
Practice Address - Fax:989-839-4565
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2018-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704175287363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1285680223OtherNPI
1942621990OtherNPI
MI5008704100OtherBLUE CROSS