Mrs. Miasha Renee Crutchfield
Nurse Practitioner - Family Medicine
3015 Wilson Ave
Louisville
, Kentucky 40211-1969
Mrs. Miasha Renee Crutchfield
Nurse Practitioner - Family Medicine
3015 Wilson Ave
Louisville
, Kentucky 40211-1969
(502) 386-8631
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Mrs. Miasha Renee Crutchfield
- 1371 Catalpa St
- Louisville, KY
- Zip : 40211-1730
- Phone : (502) 386-8631
Second Address
- Mrs. Miasha Renee Crutchfield
- 3015 Wilson Ave
- Louisville, KY
- Zip : 40211-1969
- Phone : (502) 774-4401
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Is Mrs. Miasha Renee Crutchfield a sole practitioner?
Is Mrs. Miasha Renee Crutchfield accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3011268 | KY |
National Provider Identifier
| NPI | 1003344854 |
|---|---|
| Provider Name | Mrs. Miasha Renee Crutchfield |
| First Address | Louisville, KY 40211-1730 |
| Second Address | Louisville, KY 40211-1969 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/05/2017 |
| Last Update Date | 24/05/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.