| Doctor Name: | MRS. MICHELE DIANE CRAWLEY |
| NPI Number: | 1184046336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN, CNP |
| License Number: | 84737 |
| Business Practice Address: | 2401 W Main St Henryetta, OK - 744373893 |
| Business Phone Number: | 9186529650 |
| Business Fax Number: | 9186527827 |
| Mailing Address: | 2401 W Main St, HENRYETTA |
| State: | OK |
| Postal Code: | 744373893 |
| Phone Number: | 9186529650 |
| Fax Number: | 9186527827 |
| NPI Enumeration Date: | 01/07/2014 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 84737 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OK |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |