Provider Demographics
NPI:1851155782
Name:CROWLEY, SHERRI RANAY (CERTIFIED)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:RANAY
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:CERTIFIED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6896 COUNTY ROAD 1280
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-4972
Mailing Address - Country:US
Mailing Address - Phone:417-293-3775
Mailing Address - Fax:
Practice Address - Street 1:6896 COUNTY ROAD 1280
Practice Address - Street 2:
Practice Address - City:WEST PLAINS
Practice Address - State:MO
Practice Address - Zip Code:65775-4972
Practice Address - Country:US
Practice Address - Phone:417-293-3775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO16287175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist