MEDICARE: MS. ADRIAN BERNADETTE CROWE NURSE PRACTITIONER

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
1	363LF0000X	Family Nurse Practitioner	RN43392	DC
2	363LF0000X	Family Nurse Practitioner	R109033	MD

General Provider Information

NPI Number	:	1447456165
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIAN BERNADETTE CROWE NURSE PRACTITIONER

Provider Business Mailing Address
First Line	:	646 F STREET , N.E.
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20002-5218
Country	:	US
Telephone Number	:	202-487-6530
Fax Number	:	202-865-3672

Provider Business Practice Location Address
First Line	:	5870 SILVER HILL ROAD
Second Line	:	MINUTE CLINIC INSIDE CVS STORE
City	:	DISTRICT HEIGHTS
State	:	MD
Zip	:	20747-0001
Country	:	US
Telephone Number	:	301-736-3994
Fax Number	:	301-967-1344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	01/23/2009

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