Provider Demographics
NPI:1487349551
Name:CROWLEY, ALISHA (RDN)
Entity type:Individual
Prefix:
First Name:ALISHA
Middle Name:
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 ALEXANDRIA
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-2422
Mailing Address - Country:US
Mailing Address - Phone:812-455-4354
Mailing Address - Fax:
Practice Address - Street 1:316 ALEXANDRIA
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-2422
Practice Address - Country:US
Practice Address - Phone:812-455-4354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered