Individual
KELLY ELAINE CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(201) 487-8987
Mailing address
30 PROSPECT AVE # TCI, HACKENSACK, NJ 07601-1915
(201) 487-8987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00540800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205234903
—
NJ
Enumeration date
12/11/2014
Last updated
03/16/2021
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