Provider Demographics
NPI:1659482313
Name:CROWLEY-CHAGNON, ARLENE MARIE (APRN)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:MARIE
Last Name:CROWLEY-CHAGNON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 INDIAN ROCK RD
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03063-1322
Mailing Address - Country:US
Mailing Address - Phone:603-718-4043
Mailing Address - Fax:
Practice Address - Street 1:51 INDIAN ROCK RD
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03063-1322
Practice Address - Country:US
Practice Address - Phone:603-718-4043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH028314-21163W00000X
NH028314-23364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3097918Medicaid