Provider Demographics
NPI:1063698520
Name:CROWELL, DEBBIE (LPN)
Entity type:Individual
Prefix:
First Name:DEBBIE
Middle Name:
Last Name:CROWELL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15311 WARWICK BLVD APT B
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23608-2629
Mailing Address - Country:US
Mailing Address - Phone:757-283-5029
Mailing Address - Fax:
Practice Address - Street 1:15311 WARWICK BLVD APT B
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23608-2629
Practice Address - Country:US
Practice Address - Phone:757-283-5029
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0002062211164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse