Provider Demographics
NPI:1194274498
Name:EVANS-CREWE, LINDA ANN (BA, MPA)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:EVANS-CREWE
Suffix:
Gender:F
Credentials:BA, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4956 SABLE PINE CIR APT A2
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-3112
Mailing Address - Country:US
Mailing Address - Phone:561-603-7669
Mailing Address - Fax:
Practice Address - Street 1:4956 SABLE PINE CIR APT A2
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-3112
Practice Address - Country:US
Practice Address - Phone:561-603-7669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator