MEDICARE: HANNAH CRAWFORD APRN

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	208D00000X	General Practice Physician	4051748	KY

General Provider Information

NPI Number	:	1346107398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH CRAWFORD APRN

Provider Business Mailing Address
First Line	:	6428 CARTERSVILLE RD
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-8909
Country	:	US
Telephone Number	:	859-626-9696
Fax Number	:

Provider Business Practice Location Address
First Line	:	6428 CARTERSVILLE RD
Second Line	:
City	:	BEREA
State	:	KY
Zip	:	40403-8909
Country	:	US
Telephone Number	:	859-626-9696
Fax Number	:

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

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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