Provider Demographics
NPI:1346219649
Name:CRAWFORD, SYLVIA SONNIER (C-FNP,RN)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:SONNIER
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:C-FNP,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1122
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:LA
Mailing Address - Zip Code:71463-1122
Mailing Address - Country:US
Mailing Address - Phone:318-215-1413
Mailing Address - Fax:318-215-1415
Practice Address - Street 1:124 S 13TH ST BLDG 2
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:LA
Practice Address - Zip Code:71463-2935
Practice Address - Country:US
Practice Address - Phone:318-215-1413
Practice Address - Fax:318-215-1415
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN033475 AP03845207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA500022726OtherRR MEDICARE
LA1109100Medicaid
LAP41570Medicare UPIN
LA1109100Medicaid