Provider Demographics
NPI:1316556905
Name:CROWLEY, CAITLIN (FNP)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 UNCLE BILLS WAY
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2632
Mailing Address - Country:US
Mailing Address - Phone:508-292-5423
Mailing Address - Fax:
Practice Address - Street 1:40 UNCLE BILLS WAY
Practice Address - Street 2:
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-2632
Practice Address - Country:US
Practice Address - Phone:508-292-5423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2284026363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner