Healthcare Provider Details

I. General information

NPI: 1922547926
Provider Name (Legal Business Name): CLAIRE CRAWFORD CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2017
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1035 ALTO ST
SANTA FE NM
87501-2406
US

IV. Provider business mailing address

2478 SENATOR DR
LOUISVILLE CO
80027-1234
US

V. Phone/Fax

Practice location:
  • Phone: 505-982-4425
  • Fax:
Mailing address:
  • Phone: 203-247-8296
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1001424
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number87505
License Number StateNM
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1645999
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: