Individual provider · Type 1 NPI

Miranda Wallace Crawford, NP

Nurse Practitioner · Augusta, GA

NPI number 1477893758 Active

Practice location

1120 15th St
Augusta, GA 30912-0004

Mailing address

1499 Walton Way, Suite 1400
Augusta, GA 30901-2602

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN192423 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1477893758

Miranda Wallace Crawford, NP's National Provider Identifier is 1477893758, issued on Feb 22, 2013. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Augusta, GA. The record was last updated on May 12, 2014.