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NPI Code Detail

MEDICARE: NICCOLE RENEA CROWLEY F-NP

MEDICARE: NICCOLE RENEA CROWLEY F-NP
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 Practitioner20453TN

General Provider Information

NPI Number : 1750750790
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICCOLE RENEA CROWLEY F-NP
Provider Business Mailing Address
First Line : 5421 MAIN ST
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-4410
Country : US
Telephone Number : 931-483-2500
Fax Number : 931-486-3748
Provider Business Practice Location Address
First Line : 5421 MAIN ST
Second Line :
City : SPRING HILL
State : TN
Zip : 37174-4410
Country : US
Telephone Number : 931-486-2500
Fax Number : 931-486-3748
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2015
Last Update Date : 07/26/2016

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