Individual
MARY ANN CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
104 QUAIL TRL, EDGEWOOD, NM 87015-7185
(505) 208-0204
Mailing address
168 SANGRE DE CRISTO, CEDAR CREST, NM 87008-9402
(505) 715-8205
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
58824
NM
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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