Provider Demographics
NPI:1508170754
Name:CROWDER, ELIZABETH ELIN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:ELIN
Last Name:CROWDER
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:5201 NORRIS CANYON RD STE 220
Mailing Address - Street 2:
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-5405
Mailing Address - Country:US
Mailing Address - Phone:925-277-1900
Mailing Address - Fax:
Practice Address - Street 1:5201 NORRIS CANYON RD STE 220
Practice Address - Street 2:
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-5405
Practice Address - Country:US
Practice Address - Phone:510-277-1900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-29
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA21055363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant