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NPI Code Detail

MEDICARE: TODD STEVEN CRAWFORD APRN, RNP, PMHNP-BC

MEDICARE: TODD STEVEN CRAWFORD APRN, RNP, PMHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerRN237665GA
2363LP0808XPsychiatric/Mental Health Nurse Practitioner285038AZ

General Provider Information

NPI Number : 1528523222
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD STEVEN CRAWFORD APRN, RNP, PMHNP-BC
Provider Business Mailing Address
First Line : 20950 N TATUM BLVD STE 380
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4258
Country : US
Telephone Number : 480-626-7584
Fax Number : 480-210-0230
Provider Business Practice Location Address
First Line : 20950 N TATUM BLVD STE 380
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4258
Country : US
Telephone Number : 480-626-7584
Fax Number : 480-210-0230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 04/23/2026

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