Provider Demographics
NPI:1720421712
Name:CRAWFORD, KATHRYN LEAH (RN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:LEAH
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6312 CALIFORNIA AVE SW
Mailing Address - Street 2:APT 312
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1884
Mailing Address - Country:US
Mailing Address - Phone:206-356-8103
Mailing Address - Fax:
Practice Address - Street 1:6312 CALIFORNIA AVE SW
Practice Address - Street 2:APT 312
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1884
Practice Address - Country:US
Practice Address - Phone:206-356-8103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60104806163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse