Individual
GAVIN CROWTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(801) 516-9856
Mailing address
2446 W 3425 N, FARR WEST, UT 84404-8624
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7245822-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7245822-4405
UT
Other
Enumeration date
08/27/2018
Last updated
07/14/2020
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