Individual
COLLEEN M CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8700 STONY POINT PKWY STE 100, RICHMOND, VA 23235-1968
(804) 775-4500
(804) 545-0758
Mailing address
10800 MIDLOTHIAN TPKE, SUITE 265, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
(804) 594-0915
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024169796
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q38029A
MEDICARE PTAN
VA
Enumeration date
09/09/2011
Last updated
11/06/2023
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