Healthcare Provider Details

I. General information

NPI: 1528992252
Provider Name (Legal Business Name): CAITLIN CROW FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1454 FRENCHMANS BEND RD
MONROE LA
71203-8766
US

IV. Provider business mailing address

1454 FRENCHMANS BEND RD
MONROE LA
71203-8766
US

V. Phone/Fax

Practice location:
  • Phone: 318-537-1738
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number222750
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: