Martha Crawford, R.N,
Individual provider Active NPI Nutrition Education Nutritionist · Dexter, MO
NPI 1770923153 · NPPES record last updated Jun 28, 2013
Key facts
- NPI
- 1770923153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- License
- 123904 (MO)
- Practice address
- 2106 N Outer Rd
Suite C
Dexter, MO 63841-8482 - Phone
- (573) 820-9494
- NPI assigned
- Jun 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 123904 | MO | MD | Nutrition Education Nutritionist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | 123904 | MO | Yes |
Addresses
Primary practice location
2106 N Outer Rd
Suite C
Dexter, MO 63841-8482
Mailing address
2106 N Outer Rd
Suite C
Dexter, MO 63841-8482
Phone (573) 820-9494
Other providers in Dexter, MO
- Kayla Michelle Clark
- Clearwater in-Home Care, Inc.
- Vincent Harlon Coburn
- Krista Lynn Conde
- Brendan Robert Crader
- D&S Drug LLC
- D&S Drug LLC
- Davis Health & Wellness Clinic, P.C.
- Bradford Joseph Davis
- Savannah Joy Deane
All providers in Dexter, MO · Nutrition Education Nutritionist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.