Individual
AUSTIN BLAKE CROWDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3500 VICTORIA ST # VB360A, PITTSBURGH, PA 15213-2543
(888) 747-0794
Mailing address
127 GLENDA DR, BONAIRE, GA 31005-3565
(478) 972-6249
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN280108
GA
163W00000X
Registered Nurse
TLRN061816
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024189409
VA
Other
Enumeration date
01/28/2021
Last updated
06/24/2024
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