Healthcare Provider Details

I. General information

NPI: 1154219848
Provider Name (Legal Business Name): BARBARA LYNN CRAWFORD REGISTERED NURSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 KAISER PLZ
OAKLAND CA
94612-3610
US

IV. Provider business mailing address

595 WILLOW RIDGE CT
FOLSOM CA
95630-5565
US

V. Phone/Fax

Practice location:
  • Phone: 415-314-4316
  • Fax:
Mailing address:
  • Phone: 916-276-6993
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA2000X
TaxonomyAdministrator Registered Nurse
License Number282085
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: