Provider Demographics
NPI:1124160718
Name:CROWELL, ESTHER LOIS (CNM)
Entity type:Individual
Prefix:MRS
First Name:ESTHER
Middle Name:LOIS
Last Name:CROWELL
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15195 NATIONAL AVE
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2631
Mailing Address - Country:US
Mailing Address - Phone:408-358-1881
Mailing Address - Fax:408-356-9608
Practice Address - Street 1:15195 NATIONAL AVE
Practice Address - Street 2:SUITE 207
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2631
Practice Address - Country:US
Practice Address - Phone:408-358-1881
Practice Address - Fax:408-356-9608
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1340367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife