Provider Demographics
NPI:1891253951
Name:CROWTHER, SHAWN K (CERT NURSE MIDWIFE)
Entity Type:Individual
Prefix:
First Name:SHAWN
Middle Name:K
Last Name:CROWTHER
Suffix:
Gender:M
Credentials:CERT NURSE MIDWIFE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 555191
Mailing Address - Street 2:
Mailing Address - City:CAMP PENDLETON
Mailing Address - State:CA
Mailing Address - Zip Code:92055-5191
Mailing Address - Country:US
Mailing Address - Phone:760-725-4015
Mailing Address - Fax:
Practice Address - Street 1:CHATAN, NAKAGAMI DISTRICT
Practice Address - Street 2:
Practice Address - City:NAHA
Practice Address - State:OKINAWA PREFECTURE
Practice Address - Zip Code:9040103
Practice Address - Country:JP
Practice Address - Phone:011-646-7723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife