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NPI Code Detail

MEDICARE: BRICE CLIFTON CROWLEY LPN

MEDICARE: BRICE CLIFTON CROWLEY LPN
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
1164W00000XLicensed Practical Nurse5949AK

General Provider Information

NPI Number : 1518055268
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRICE CLIFTON CROWLEY LPN
Provider Business Mailing Address
First Line : 4201 TUDOR CENTRE DR
Second Line : SUITE #320
City : ANCHORAGE
State : AK
Zip : 99508-5904
Country : US
Telephone Number : 907-729-8624
Fax Number : 907-729-8607
Provider Business Practice Location Address
First Line : 225 EAGLE ST
Second Line :
City : ANCHORAGE
State : AK
Zip : 99501-2626
Country : US
Telephone Number : 907-729-8624
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2006
Last Update Date : 12/17/2012

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Directions to “ BRICE CLIFTON CROWLEY LPN” Practice Location

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