MEDICARE: VALERIE N CRAWFORD NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	AP3205	AZ
2	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	AP3205	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	Z127787	OTHER	AZ	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316186398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE N CRAWFORD NP

Provider Business Mailing Address
First Line	:	2424 N WYATT DR
Second Line	:	STE. 260
City	:	TUCSON
State	:	AZ
Zip	:	85712-6115
Country	:	US
Telephone Number	:	520-795-0549
Fax Number	:	520-795-0354

Provider Business Practice Location Address
First Line	:	6261 N LA CHOLLA BLVD
Second Line	:	STE. 277
City	:	TUCSON
State	:	AZ
Zip	:	85741-3565
Country	:	US
Telephone Number	:	520-877-3800
Fax Number	:	520-877-3801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2009
Last Update Date	:	08/10/2023

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Directions to “ VALERIE N CRAWFORD NP” Practice Location

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