Provider Demographics
NPI:1386348167
Name:CRAWFORD, ARIELLE JORDAN (FNP)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:JORDAN
Last Name:CRAWFORD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ARIELLE
Other - Middle Name:JORDAN
Other - Last Name:CROISETIERE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 FURROW ST
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-1119
Mailing Address - Country:US
Mailing Address - Phone:413-364-0117
Mailing Address - Fax:
Practice Address - Street 1:11 HOSPITAL DR FL 3
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-6601
Practice Address - Country:US
Practice Address - Phone:413-534-2870
Practice Address - Fax:413-534-2869
Is Sole Proprietor?:No
Enumeration Date:2023-03-28
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2345883363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner