Provider Demographics
NPI:1437899580
Name:CROWLEY, CHARISMA ANTIONETTE
Entity Type:Individual
Prefix:MS
First Name:CHARISMA
Middle Name:ANTIONETTE
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5137 BERRYVILLE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70817-2202
Mailing Address - Country:US
Mailing Address - Phone:225-394-1781
Mailing Address - Fax:
Practice Address - Street 1:5137 BERRYVILLE CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70817-2202
Practice Address - Country:US
Practice Address - Phone:225-394-1781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-29
Last Update Date:2022-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)