Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 039403-23 | NH |
NPI | 1003063710 |
---|---|
Provider Name | Karen Crowley |
First Address | Somersworth, NH 03878-6512 |
Second Address | Somersworth, NH 03878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2008 |
Last Update Date | 25/08/2008 |