Provider Demographics
NPI:1780002501
Name:CROWE, SHEENA (MSN, ACNP-BC, FNP-C)
Entity Type:Individual
Prefix:
First Name:SHEENA
Middle Name:
Last Name:CROWE
Suffix:
Gender:F
Credentials:MSN, ACNP-BC, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 MOUNTAIN VIEW AVE
Mailing Address - Street 2:540
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3178
Mailing Address - Country:US
Mailing Address - Phone:303-951-4059
Mailing Address - Fax:303-951-4060
Practice Address - Street 1:9085 E MINERAL CIR
Practice Address - Street 2:110
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3462
Practice Address - Country:US
Practice Address - Phone:303-801-0129
Practice Address - Fax:303-586-8206
Is Sole Proprietor?:No
Enumeration Date:2014-03-29
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0991103363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily