Provider Demographics
NPI:1922753185
Name:CRAWFORD NORMAN, VANESSA MARIE (RN CASE MANAGER)
Entity Type:Individual
Prefix:
First Name:VANESSA
Middle Name:MARIE
Last Name:CRAWFORD NORMAN
Suffix:
Gender:F
Credentials:RN CASE MANAGER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:341 N MAITLAND AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-4761
Mailing Address - Country:US
Mailing Address - Phone:407-761-6029
Mailing Address - Fax:888-241-9526
Practice Address - Street 1:341 N MAITLAND AVE STE 290
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4761
Practice Address - Country:US
Practice Address - Phone:407-761-6029
Practice Address - Fax:888-241-9526
Is Sole Proprietor?:No
Enumeration Date:2022-02-16
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL231067163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management