Healthcare Provider Details

I. General information

NPI: 1790785970
Provider Name (Legal Business Name): LAURA CRIMM CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA MURPHY CRNP

II. Dates (important events)

Enumeration Date: 07/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 7 FIELDS BLVD
SEVEN FIELDS PA
16046-4345
US

IV. Provider business mailing address

219 AMSLER RD
SEWICKLEY PA
15143-9696
US

V. Phone/Fax

Practice location:
  • Phone: 866-825-3227
  • Fax:
Mailing address:
  • Phone: 724-266-3492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberVP004455B
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: