Provider Demographics
NPI:1912200197
Name:CRAWFORD, STEVEN W (RN)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:W
Last Name:CRAWFORD
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6496 PORTSMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1948
Mailing Address - Country:US
Mailing Address - Phone:614-986-9374
Mailing Address - Fax:
Practice Address - Street 1:6496 PORTSMOUTH DR
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1948
Practice Address - Country:US
Practice Address - Phone:614-986-9374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-10
Last Update Date:2010-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN340618163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse