Healthcare Provider Details

I. General information

NPI: 1821462532
Provider Name (Legal Business Name): AMBER L CROWE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2015
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17027 JOSEPHINE
FRASER MI
48026-3822
US

IV. Provider business mailing address

310 N. MAIN STREET SUITE 301
CHELSEA MI
48118-1807
US

V. Phone/Fax

Practice location:
  • Phone: 586-218-0987
  • Fax:
Mailing address:
  • Phone: 734-222-8200
  • Fax: 734-222-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number4704240227
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: