Crawford, Amanda Kimble
Crawford, Amanda Kimble is an individual health care provider with primary practice located at 8415 Goodwood Blvd Ste 100, Baton Rouge LA 70806-7851. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Crawford, Amanda Kimble can be contacted via phone (225) 765-5633.Contact Information
Primary practice address
8415 Goodwood Blvd Ste 100
Baton Rouge LA 70806-7851
Phone: (225) 765-5633
Fax: (225) 765-5634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | RN096204 AP04552 | Louisiana |
Profile Details
| NPI number | 1891794020 |
|---|---|
| LBN Legal business name | Crawford, Amanda Kimble |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Sep 9th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891794020 | NPPES |
| Louisiana | MEDICAID | 1468789 |
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