Provider Demographics
NPI:1538042718
Name:CRUDDER, LETTOYA I (NBHWC)
Entity type:Individual
Prefix:MRS
First Name:LETTOYA
Middle Name:I
Last Name:CRUDDER
Suffix:
Gender:F
Credentials:NBHWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18220 N 68TH ST APT 222
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-9209
Mailing Address - Country:US
Mailing Address - Phone:440-984-9792
Mailing Address - Fax:
Practice Address - Street 1:18220 N 68TH ST APT 222
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-9209
Practice Address - Country:US
Practice Address - Phone:440-984-9792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator