Individual
MRS. CARIANNE NICOLE CROWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1320 LAS TABLAS ROAD, SUITE B, TEMPLETON, CA 93465
(805) 434-5563
(805) 434-5916
Mailing address
1320 LAS TABLAS ROAD, SUITE B, TEMPLETON, CA 93465
(805) 434-5563
(805) 434-5916
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
51900
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51900
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
11/21/2014
Last updated
07/17/2024
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