Provider Demographics
NPI:1407008089
Name:CRAWFORD, SHERRI L (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:SHERRI
Middle Name:L
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2311 ALT 19
Mailing Address - Street 2:STE 5
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-2631
Mailing Address - Country:US
Mailing Address - Phone:727-796-2904
Mailing Address - Fax:727-796-2965
Practice Address - Street 1:2311 ALT 19
Practice Address - Street 2:STE 5
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-2631
Practice Address - Country:US
Practice Address - Phone:727-796-2904
Practice Address - Fax:727-796-2904
Is Sole Proprietor?:No
Enumeration Date:2008-10-15
Last Update Date:2016-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9168323363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner