Individual
ANNE CROWL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2275 S EAGLE RD STE 120, MERIDIAN, ID 83642-2620
(208) 514-2520
(208) 375-2217
Mailing address
777 N RAYMOND ST, BOISE, ID 83704-9251
(208) 514-2500
(208) 375-2217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1857
ID
363AM0700X
Medical Physician Assistant
PA-1857
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417581869
—
ID
Enumeration date
02/25/2020
Last updated
12/15/2023
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