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NPI Code Detail

MEDICARE: DEBORAH CRUTCHFIELD NP

MEDICARE:   DEBORAH  CRUTCHFIELD  NP
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 Practitioner0024172152VA

General Provider Information

NPI Number : 1619360757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH CRUTCHFIELD NP
Provider Business Mailing Address
First Line : 11357 NUCKOLS RD # 2091
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-5504
Country : US
Telephone Number : 804-624-9917
Fax Number : 804-729-5887
Provider Business Practice Location Address
First Line : 11357 NUCKOLS RD # 2091
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23059-5504
Country : US
Telephone Number : 804-965-4327
Fax Number : 804-729-5887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2015
Last Update Date : 08/25/2025

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