Healthcare Provider Details

I. General information

NPI: 1336724988
Provider Name (Legal Business Name): ALAINNA CROTTY APRN, AGCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 03/16/2021
Certification Date: 03/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

IV. Provider business mailing address

8203 ATHENA LN
SEVERN MD
21144-2524
US

V. Phone/Fax

Practice location:
  • Phone: 717-395-5178
  • Fax:
Mailing address:
  • Phone: 717-395-5178
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberCS00140
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: