Provider Demographics
NPI:1063668820
Name:CROWDER, KAREN MARGARET (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARGARET
Last Name:CROWDER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:MARGARET
Other - Last Name:KLEPAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1840 MEASE DRIVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:SAFETY HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34695
Mailing Address - Country:US
Mailing Address - Phone:727-796-4166
Mailing Address - Fax:727-669-5849
Practice Address - Street 1:1840 MEASE DRIVE
Practice Address - Street 2:SUITE 305
Practice Address - City:SAFETY HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34695
Practice Address - Country:US
Practice Address - Phone:727-669-5849
Practice Address - Fax:727-669-5849
Is Sole Proprietor?:No
Enumeration Date:2008-08-13
Last Update Date:2008-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9236793363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner