Healthcare Provider Details

I. General information

NPI: 1346107398
Provider Name (Legal Business Name): HANNAH CRAWFORD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2026
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6428 CARTERSVILLE RD
BEREA KY
40403-8909
US

IV. Provider business mailing address

6428 CARTERSVILLE RD
BEREA KY
40403-8909
US

V. Phone/Fax

Practice location:
  • Phone: 859-626-9696
  • Fax:
Mailing address:
  • Phone: 859-626-9696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number4051748
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: