Provider Demographics
NPI:1710997507
Name:CROWTHER, ANGELA (RN)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:CROWTHER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:254 OAKWOOD LN
Mailing Address - Street 2:
Mailing Address - City:PINEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71360-4596
Mailing Address - Country:US
Mailing Address - Phone:318-201-1327
Mailing Address - Fax:318-487-5703
Practice Address - Street 1:254 OAKWOOD LN
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:LA
Practice Address - Zip Code:71360-4596
Practice Address - Country:US
Practice Address - Phone:318-201-1327
Practice Address - Fax:318-487-5703
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2010-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN055444163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse