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General NPI Number Information
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NPI Number | 1649157827
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Entity Type | Individual
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Provider Name | MICHAEL K CROWDER
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 500 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4507
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Country | US
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Telephone | 657-565-3259
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S MAIN ST
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City | ORANGE
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State | CA
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Zip | 92868-4507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WP0809X
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Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
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License Number | 01141407
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number | 01141407
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | 01141407
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License Number State | CA
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