Crowder, Nicole

Crowder, Nicole is an individual health care provider with primary practice located at 1802 Braeburn Dr , Salem VA 24153-7357. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Crowder, Nicole can be contacted via phone (540) 772-3490.

Contact Information

Primary practice address
1802 Braeburn Dr Salem VA 24153-7357
Phone: (540) 772-3490
Fax: (540) 725-5069
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001214090 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F0516010 Virginia

Profile Details

NPI number 1437506789
LBN Legal business name Crowder, Nicole
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2016
Last updated Dec 13th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437506789 NPPES
Virginia MEDICAID 1437506789

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