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NPI Code Detail

MEDICARE: CASANDRA M CROWSON FNP

MEDICARE:   CASANDRA M CROWSON  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner236176AZ

General Provider Information

NPI Number : 1104464270
Entity Type Code : Individual
Provider Name (Legal Business Name) : CASANDRA M CROWSON FNP
Provider Business Mailing Address
First Line : 4955 N SABINO CANYON RD STE 103
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6491
Country : US
Telephone Number : 520-314-2400
Fax Number :
Provider Business Practice Location Address
First Line : 4955 N SABINO CANYON RD STE 103
Second Line :
City : TUCSON
State : AZ
Zip : 85750-6491
Country : US
Telephone Number : 520-314-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2019
Last Update Date : 12/16/2025

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Directions to “ CASANDRA M CROWSON FNP” Practice Location

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