Individual
COLLEEN M CROUCH
Active
Individual
COLLEEN M CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
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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