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NPI Code Detail

MEDICARE: REGAN CRAWFORD RN

MEDICARE: REGAN CRAWFORD RN
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
1163W00000XRegistered Nurse424971OH

General Provider Information

NPI Number : 1588375174
Entity Type Code : Individual
Provider Name (Legal Business Name) : REGAN CRAWFORD RN
Provider Business Mailing Address
First Line : 8787 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 216-739-7000
Fax Number :
Provider Business Practice Location Address
First Line : 8787 BROOKPARK RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44129-6809
Country : US
Telephone Number : 216-739-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2022
Last Update Date : 12/06/2022

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Directions to “ REGAN CRAWFORD RN” Practice Location

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