Provider Demographics
NPI:1265775431
Name:PASTOR, DOROTHY CRAWFORD (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:CRAWFORD
Last Name:PASTOR
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9869 STRAWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-2341
Mailing Address - Country:US
Mailing Address - Phone:216-445-3624
Mailing Address - Fax:216-445-9139
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:S 60
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-3624
Practice Address - Fax:216-445-9139
Is Sole Proprietor?:No
Enumeration Date:2013-04-05
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN-270669163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse