Individual
AVERIL ALICEN CROWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2120 43RD ST SE STE 200, KENTWOOD, MI 49508-3712
(616) 455-4114
(616) 455-4454
Mailing address
2120 43RD ST SE STE 200, KENTWOOD, MI 49508-3712
(616) 455-4114
(616) 455-4454
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704271778
MI
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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