MRS. MARY A CROWDER RN NPI 1902095409

NPI Information

NPI: 1902095409
Provider Name: MRS. MARY A CROWDER, RN
Classification: Registered Nurse - 163WC0400X
Entity Type: Individual

Specialization: Case Management

Address:
2379 N 63RD ST
WAUWATOSA, WI
ZIP 53213
Phone: (414) 771-6507
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MRS. Mary A Crowder, RN is a case management registered nurse in Wauwatosa, WI. MRS. Mary A Crowder, RN NPI is 1902095409. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2379 N 63RD ST
WAUWATOSA, WI
ZIP 53213-543
Phone: (414) 771-6507
Fax: (414) 771-1181

The enumeration date for this NPI number is 10/20/2007 and was last updated on 10/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management		WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44018000	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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