Provider Demographics
NPI:1578540696
Name:CROWLEY, MARY CATHRIN (MSN, RN, ANP-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY CATHRIN
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:MSN, RN, ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:292 W EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-3132
Mailing Address - Country:US
Mailing Address - Phone:908-474-7777
Mailing Address - Fax:908-474-6460
Practice Address - Street 1:292 W EMERSON AVE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-3132
Practice Address - Country:US
Practice Address - Phone:908-474-7777
Practice Address - Fax:908-474-6460
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2008-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00013700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health