Provider Demographics
NPI:1699371799
Name:CROWLEY, DAWN (APRN)
Entity Type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:DELIFUS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:14750 NW 77TH CT STE 100
Mailing Address - Street 2:
Mailing Address - City:MIAMI LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33016-1507
Mailing Address - Country:US
Mailing Address - Phone:786-758-3165
Mailing Address - Fax:
Practice Address - Street 1:4450 E FLETCHER AVE STE D
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-4907
Practice Address - Country:US
Practice Address - Phone:813-632-8861
Practice Address - Fax:813-977-1742
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2023-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9290967363LF0000X
FLAPRN11015927363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily