Provider Demographics
NPI:1477297182
Name:CRAWFORD, LINDA JOYCE (DNP, APRN, NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOYCE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:DNP, APRN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8404 SAN CAPISTRANO WAY
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3021
Mailing Address - Country:US
Mailing Address - Phone:714-699-6710
Mailing Address - Fax:
Practice Address - Street 1:8404 SAN CAPISTRANO WAY
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3021
Practice Address - Country:US
Practice Address - Phone:714-699-6710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-27
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA352571363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner