Provider Demographics
NPI:1164204996
Name:CROUCHER, APRIL STAR (CPM)
Entity Type:Individual
Prefix:
First Name:APRIL
Middle Name:STAR
Last Name:CROUCHER
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 BRAKEFIELD ST
Mailing Address - Street 2:
Mailing Address - City:SLIDELL
Mailing Address - State:LA
Mailing Address - Zip Code:70458-3620
Mailing Address - Country:US
Mailing Address - Phone:985-888-9355
Mailing Address - Fax:
Practice Address - Street 1:340 BRAKEFIELD ST
Practice Address - Street 2:
Practice Address - City:SLIDELL
Practice Address - State:LA
Practice Address - Zip Code:70458-3620
Practice Address - Country:US
Practice Address - Phone:985-265-4032
Practice Address - Fax:985-202-4597
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA339119176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife