Provider Demographics
NPI:1043664055
Name:CROWELL, ERIN (ARNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:CROWELL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5021 BOSTON COMMON GLN
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34211-8495
Mailing Address - Country:US
Mailing Address - Phone:941-961-7051
Mailing Address - Fax:
Practice Address - Street 1:250 2ND ST E STE 4G
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1028
Practice Address - Country:US
Practice Address - Phone:941-744-2640
Practice Address - Fax:941-744-2650
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-15
Last Update Date:2024-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9180319363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health