Individual
MRS. MARY A CROWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2379 N 63RD ST, WAUWATOSA, WI 53213-1543
(414) 771-6507
(414) 771-1181
Mailing address
2379 N 63RD ST, WAUWATOSA, WI 53213-1543
(414) 771-6507
(414) 771-1181
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44018000
—
WI
Enumeration date
10/20/2007
Last updated
10/20/2007
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