Provider Demographics
NPI:1134941677
Name:CRAWFORD, MALEAH ABIGAIL
Entity type:Individual
Prefix:
First Name:MALEAH
Middle Name:ABIGAIL
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5845 E 22ND ST
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-2315
Mailing Address - Country:US
Mailing Address - Phone:405-761-7889
Mailing Address - Fax:
Practice Address - Street 1:5845 E 22ND ST
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-2315
Practice Address - Country:US
Practice Address - Phone:405-761-7889
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program