Healthcare Provider Details

I. General information

NPI: 1043927833
Provider Name (Legal Business Name): ASHLEY ERIN CROWE DNP, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N GREEN BAY RD
NEENAH WI
54956-1954
US

IV. Provider business mailing address

333 N GREEN BAY RD
NEENAH WI
54956-1954
US

V. Phone/Fax

Practice location:
  • Phone: 920-725-2070
  • Fax:
Mailing address:
  • Phone: 920-729-6088
  • Fax: 920-729-6484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number219622-30
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number13359-33
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number13359
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: