Provider Demographics
NPI:1780972034
Name:CRAWFORD, PATRICIA (CFNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:CFNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EAST STREET SE, #301
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-4800
Mailing Address - Country:US
Mailing Address - Phone:703-938-5555
Mailing Address - Fax:703-319-8580
Practice Address - Street 1:100 EAST STREET SE
Practice Address - Street 2:301
Practice Address - City:VIENNA
Practice Address - State:VA
Practice Address - Zip Code:22180-4800
Practice Address - Country:US
Practice Address - Phone:703-938-5555
Practice Address - Fax:703-319-8580
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024169484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily