Healthcare Provider Details
I. General information
NPI: 1154855989
Provider Name (Legal Business Name): MRS. KAREN FISHKIN CROW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/19/2017
Last Update Date: 04/19/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
162 STANTON CT E
PITTSBURGH PA
15201-1614
US
IV. Provider business mailing address
162 STANTON CT E
PITTSBURGH PA
15201-1614
US
V. Phone/Fax
- Phone: 412-345-3726
- Fax:
- Phone: 412-345-3726
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175M00000X |
| Taxonomy | Lay Midwife |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 176B00000X |
| Taxonomy | Midwife |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374J00000X |
| Taxonomy | Doula |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: