Provider Demographics
NPI:1215338421
Name:CRAWFORD, LADAWANA SAHANTE (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:LADAWANA
Middle Name:SAHANTE
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4908 COLLINGTONS BOUNTY DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-5626
Mailing Address - Country:US
Mailing Address - Phone:317-985-0695
Mailing Address - Fax:
Practice Address - Street 1:3240 STANTON RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-2910
Practice Address - Country:US
Practice Address - Phone:202-889-3754
Practice Address - Fax:202-889-9301
Is Sole Proprietor?:No
Enumeration Date:2014-09-07
Last Update Date:2014-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1034923363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily