Individual
MISS SHANA BROOKE CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1503 POTOMAC AVE, HAGERSTOWN, MD 21742-2930
(304) 261-7745
Mailing address
1132 NESTLE QUARRY RD, FALLING WATERS, WV 25419-4258
(304) 261-7745
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F336174
NY
363LF0000X
Family Nurse Practitioner
R198459
MD
Other
Enumeration date
02/17/2010
Last updated
10/04/2021
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