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General NPI Number Information
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NPI Number | 1740591833
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Entity Type | Individual
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Provider Name | NELLIE SARAH CRAWFORD M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/23/2010
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 9305 W THOMAS RD STE 155
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City | PHOENIX
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State | AZ
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Zip | 85037-3360
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Country | US
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Telephone | 623-936-1780
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Fax |
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Provider Business Mailing Address
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Address Line | 2920 BLUESTONE DR SW
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City | ATLANTA
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State | GA
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Zip | 30331-9494
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Country | US
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Telephone | 404-450-8740
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 66471
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 54445
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | D0103132
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 33945
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License Number State | NH
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 76285
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License Number State | AZ
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