Provider Demographics
NPI:1780060426
Name:CROWLEY, KARRI A (FNP)
Entity type:Individual
Prefix:
First Name:KARRI
Middle Name:A
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:KARRI
Other - Middle Name:A
Other - Last Name:SHORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:WOT 12TH FL
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605-2038
Mailing Address - Country:US
Mailing Address - Phone:508-368-5532
Mailing Address - Fax:508-581-0070
Practice Address - Street 1:94 ELM ST
Practice Address - Street 2:
Practice Address - City:MILLBURY
Practice Address - State:MA
Practice Address - Zip Code:01527-2602
Practice Address - Country:US
Practice Address - Phone:508-865-5858
Practice Address - Fax:508-581-0070
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2015-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN217995363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily