Provider Demographics
NPI:1841803095
Name:CRAWFORD, JOSHUA NEAL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:NEAL
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10615 SOMBRA VERDE DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79935-3612
Mailing Address - Country:US
Mailing Address - Phone:915-383-9907
Mailing Address - Fax:
Practice Address - Street 1:10615 SOMBRA VERDE DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79935-3612
Practice Address - Country:US
Practice Address - Phone:915-383-9907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-27
Last Update Date:2020-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1010933363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily