MEDICARE: CHRISTY L. CROWTHER-RADULEWICZ CRNP

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	363LA2200X	Adult Health Nurse Practitioner	R062698	MD

General Provider Information

NPI Number	:	1750383089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTY L. CROWTHER-RADULEWICZ CRNP

Provider Business Mailing Address
First Line	:	2629 RIVA RD STE 114
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7428
Country	:	US
Telephone Number	:	410-573-2530
Fax Number	:	410-573-2536

Provider Business Practice Location Address
First Line	:	2629 RIVA RD STE 114
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-7428
Country	:	US
Telephone Number	:	410-573-2530
Fax Number	:	410-573-2536

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/03/2026

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