Provider Demographics
NPI:1427299080
Name:CRAWFORD-ZANGER, SANDRA JANE (ANP)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:JANE
Last Name:CRAWFORD-ZANGER
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:MS
Other - First Name:SANDRA
Other - Middle Name:JANE
Other - Last Name:CRAWFORD-ZANGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:110 FRANCIS ST
Mailing Address - Street 2:7TH FLOOR
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-5501
Mailing Address - Country:US
Mailing Address - Phone:617-632-8731
Mailing Address - Fax:617-632-0572
Practice Address - Street 1:110 FRANCIS ST
Practice Address - Street 2:7TH FLOOR
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-5501
Practice Address - Country:US
Practice Address - Phone:617-632-8731
Practice Address - Fax:617-632-0572
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA172285363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health