Individual
MISS PORTIA CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7428 MANOR CREEK LOOP, NEW ALBANY, OH 43054-8349
(614) 402-6152
Mailing address
7428 MANOR CREEK LOOP, NEW ALBANY, OH 43054-8349
(614) 402-6152
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
437005
OH
163WI0500X
Infusion Therapy Registered Nurse
437005
OH
163WW0000X
Wound Care Registered Nurse
437005
OH
163WX0200X
Oncology Registered Nurse
437005
OH
163WX1500X
Ostomy Care Registered Nurse
437005
OH
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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