Provider Demographics
NPI:1326758962
Name:CRAWFORD, YUDITH CHACON (DNP, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:YUDITH
Middle Name:CHACON
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9904 HONOLULU DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-6044
Mailing Address - Country:US
Mailing Address - Phone:915-433-4276
Mailing Address - Fax:
Practice Address - Street 1:7100 WESTWIND DR STE 300
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-1743
Practice Address - Country:US
Practice Address - Phone:915-974-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-05
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1099953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily