Provider Demographics
NPI:1033798996
Name:CRUSE DOWELL, LLC
Entity Type:Organization
Organization Name:CRUSE DOWELL, LLC
Other - Org Name:APPLE BIRTH & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUSE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, R-PYT, E-RYT 200
Authorized Official - Phone:202-455-4877
Mailing Address - Street 1:6320 WINGATE ST APT 103
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22312-3628
Mailing Address - Country:US
Mailing Address - Phone:202-455-4877
Mailing Address - Fax:
Practice Address - Street 1:6320 WINGATE ST APT 103
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-3628
Practice Address - Country:US
Practice Address - Phone:202-455-4877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-06
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Single Specialty
No174N00000XOther Service ProvidersLactation Consultant, Non-RNGroup - Single Specialty