Provider Demographics
NPI:1720348576
Name:CRABTREE, ALLISON FOGG (CRNP)
Entity type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:FOGG
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:ELLA
Other - Middle Name:ALLISON
Other - Last Name:CRABTREE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRNP
Mailing Address - Street 1:132 AVALON LN
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-8069
Mailing Address - Country:US
Mailing Address - Phone:256-283-2461
Mailing Address - Fax:
Practice Address - Street 1:731 LEIGHTON AVE., SUITE 407
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36205
Practice Address - Country:US
Practice Address - Phone:256-741-6464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-25
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-099726363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily