# SUSAN HELEN CROUCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366539058
- **Gender:** F
- **Credential:** MSN, ENP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 645583 | TX | — |
| 363L00000X | Nurse Practitioner | AP114134 | TX | Yes |
| 363LA2100X | Acute Care Nurse Practitioner | 645583 | TX | — |
| 363LF0000X | Family Nurse Practitioner | 645583 | TX | — |

## Other

- **Enumeration date:** 10/06/2006
- **Last updated:** 09/17/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1366539058 | TRICARE | TX |
| 05 | — | 174535805 | — | TX |
| 05 | — | 174535812 | — | TX |
| 05 | — | 174535813 | — | TX |
| 01 | — | 8Y8731 | BCBSTX | TX |