Individual
MS. EVELYN SMALL CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNM, MS
Contact information
Practice address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(916) 614-4170
Mailing address
1650 RESPONSE RD, SACRAMENTO, CA 95815-4807
(919) 454-4207
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
322388
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322388
REGISTERED NURSE LICENCE
CA
Enumeration date
11/11/2006
Last updated
07/08/2007
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