| Doctor Name: | PROF. REINALDO V CRAWFORD |
| NPI Number: | 1033118997 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP-FAMILY |
| License Number: | R149770 |
| Business Practice Address: | 1593 Spring Hill Rd Suite 610 Vienna, VA - 221822245 |
| Business Phone Number: | 7037494600 |
| Business Fax Number: | 3013623808 |
| Mailing Address: | Po Box 1326, LAUREL |
| State: | MD |
| Postal Code: | 207251326 |
| Phone Number: | 3015754142 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2005 |
| NPI Last Update Date: | 12/10/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R149770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |