Provider Demographics
NPI:1134870660
Name:CRAWFORD, DEANNA (CNP)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8101 HAYPORT RD
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-1769
Mailing Address - Country:US
Mailing Address - Phone:740-250-8953
Mailing Address - Fax:
Practice Address - Street 1:8101 HAYPORT RD
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-1769
Practice Address - Country:US
Practice Address - Phone:740-355-8562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-17
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHARNP.CNP.0030555363L00000X
OHAPRN.CNP.0030555363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health