Healthcare Provider Details

I. General information

NPI: 1316186398
Provider Name (Legal Business Name): VALERIE N CRAWFORD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2009
Last Update Date: 08/10/2023
Certification Date: 08/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6261 N LA CHOLLA BLVD STE. 277
TUCSON AZ
85741-3565
US

IV. Provider business mailing address

2424 N WYATT DR STE. 260
TUCSON AZ
85712-6115
US

V. Phone/Fax

Practice location:
  • Phone: 520-877-3800
  • Fax: 520-877-3801
Mailing address:
  • Phone: 520-795-0549
  • Fax: 520-795-0354

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP3205
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberAP3205
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: