Provider Demographics
NPI:1821750746
Name:CRAWFORD, FELICIA BISPO (AGNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:FELICIA
Middle Name:BISPO
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:AGNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6107 OXFORD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-5980
Mailing Address - Country:US
Mailing Address - Phone:661-340-7974
Mailing Address - Fax:
Practice Address - Street 1:7702 MEANY AVE STE 105
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-5199
Practice Address - Country:US
Practice Address - Phone:661-340-7974
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-07
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95018745363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology