Provider Demographics
NPI:1285938928
Name:CRAWFORD, ROBIN JOY
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:JOY
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:PO BOX 625
Mailing Address - Street 2:30 PLEASANT STREET
Mailing Address - City:CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03818-0625
Mailing Address - Country:US
Mailing Address - Phone:603-452-5605
Mailing Address - Fax:603-452-5610
Practice Address - Street 1:30 PLEASANT STREET
Practice Address - Street 2:PLEASANT STREET PROFESSIONAL BUILDING
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818
Practice Address - Country:US
Practice Address - Phone:603-452-5605
Practice Address - Fax:603-452-5610
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker