Provider Demographics
NPI:1851480446
Name:CRUTCHER, CHRIS (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:CRUTCHER
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7528 LK UNDERHILL RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822
Mailing Address - Country:US
Mailing Address - Phone:407-282-0059
Mailing Address - Fax:
Practice Address - Street 1:7350 SAND LAKE COMMONS STE 2205
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32819-8031
Practice Address - Country:US
Practice Address - Phone:407-647-1862
Practice Address - Fax:407-622-0994
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2014-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2511992363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily