Provider Demographics
NPI:1093606576
Name:CREWS, ALICIA (PMHNP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:
Last Name:CREWS
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1042 MCCORMICK DR
Mailing Address - Street 2:
Mailing Address - City:DELTONA
Mailing Address - State:FL
Mailing Address - Zip Code:32725-7318
Mailing Address - Country:US
Mailing Address - Phone:386-272-2913
Mailing Address - Fax:386-590-9186
Practice Address - Street 1:671 WINYAH DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-1226
Practice Address - Country:US
Practice Address - Phone:386-272-2913
Practice Address - Fax:386-590-9186
Is Sole Proprietor?:No
Enumeration Date:2025-07-11
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041057363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health