Provider Demographics
NPI:1821462532
Name:CROWE, AMBER L (NP)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:L
Last Name:CROWE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 N. MAIN STREET
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHELSEA
Mailing Address - State:MI
Mailing Address - Zip Code:48118-1807
Mailing Address - Country:US
Mailing Address - Phone:734-222-8200
Mailing Address - Fax:734-222-8202
Practice Address - Street 1:17027 JOSEPHINE
Practice Address - Street 2:
Practice Address - City:FRASER
Practice Address - State:MI
Practice Address - Zip Code:48026-3822
Practice Address - Country:US
Practice Address - Phone:586-218-0987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-18
Last Update Date:2017-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704240227363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care