Provider Demographics
NPI:1356770747
Name:CRAWFORD, GAIL LEI (CRNA)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:LEI
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:LEI
Other - Last Name:BEUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:8685 WOODROCK WAY
Mailing Address - Street 2:
Mailing Address - City:GRANITE BAY
Mailing Address - State:CA
Mailing Address - Zip Code:95746-8103
Mailing Address - Country:US
Mailing Address - Phone:916-660-9356
Mailing Address - Fax:
Practice Address - Street 1:8685 WOODROCK WAY
Practice Address - Street 2:
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746-8103
Practice Address - Country:US
Practice Address - Phone:916-660-9356
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-06
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA578056163W00000X
CA95000057367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse