MEDICARE: COLETTE CRAWFORD RN, BSN

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	163WP1700X	Perinatal Registered Nurse	RN 00092091	WA

General Provider Information

NPI Number	:	1700026192
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLETTE CRAWFORD RN, BSN

Provider Business Mailing Address
First Line	:	4649 SUNNYSIDE AVE N
Second Line	:	SUITE#301
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-525-9035
Fax Number	:	206-525-4838

Provider Business Practice Location Address
First Line	:	4649 SUNNYSIDE AVE N
Second Line	:	SUITE#301
City	:	SEATTLE
State	:	WA
Zip	:	98103-6900
Country	:	US
Telephone Number	:	206-525-9035
Fax Number	:	206-525-4838

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

Provider Enumeration Date	:	02/25/2009
Last Update Date	:	02/25/2009

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