Individual
NICOLE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3490
(540) 725-5069
Mailing address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3490
(540) 725-5069
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001214090
VA
363LF0000X
Family Nurse Practitioner
Primary
F0516010
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437506789
—
VA
Enumeration date
05/17/2016
Last updated
12/13/2016
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