Provider Demographics
NPI:1598259897
Name:CRAWFORD, OLGA ELENA (AGANP-BC, FNP-C)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:ELENA
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:AGANP-BC, FNP-C
Other - Prefix:
Other - First Name:OLGA
Other - Middle Name:ELENA
Other - Last Name:GARCIA SABORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:10302 WOODRUFF AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2945
Mailing Address - Country:US
Mailing Address - Phone:562-715-5445
Mailing Address - Fax:
Practice Address - Street 1:1300 W 7TH ST
Practice Address - Street 2:
Practice Address - City:SAN PEDRO
Practice Address - State:CA
Practice Address - Zip Code:90732-3505
Practice Address - Country:US
Practice Address - Phone:562-715-5445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-19
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95009248363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care