Provider Demographics
NPI:1972086452
Name:CROWLEY, MEGAN ANNE (DNP, APRN-CNP)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:ANNE
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:DNP, APRN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:987 ST. RT. 97 W.
Mailing Address - Street 2:
Mailing Address - City:BELLVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44813
Mailing Address - Country:US
Mailing Address - Phone:419-631-3741
Mailing Address - Fax:
Practice Address - Street 1:987 ST. RT. 97 W.
Practice Address - Street 2:
Practice Address - City:BELLVILLE
Practice Address - State:OH
Practice Address - Zip Code:44813
Practice Address - Country:US
Practice Address - Phone:567-560-3792
Practice Address - Fax:419-886-2117
Is Sole Proprietor?:No
Enumeration Date:2018-09-11
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.023494363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0347739Medicaid