Provider Demographics
NPI:1669654190
Name:CRAWFORD, EMILY H (FNP)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:H
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 HEALTHCARE DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-5120
Mailing Address - Country:US
Mailing Address - Phone:828-586-7796
Mailing Address - Fax:828-339-0173
Practice Address - Street 1:120 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:BRYSON CITY
Practice Address - State:NC
Practice Address - Zip Code:28713-8817
Practice Address - Country:US
Practice Address - Phone:828-538-4546
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5003749363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7000670Medicaid
NC1663FOtherBCBS NC
NCNC5498DMedicare PIN