Provider Demographics
NPI:1447456165
Name:CROWE, ADRIAN BERNADETTE (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MS
First Name:ADRIAN
Middle Name:BERNADETTE
Last Name:CROWE
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:646 F STREET , N.E.
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-5218
Mailing Address - Country:US
Mailing Address - Phone:202-487-6530
Mailing Address - Fax:202-865-3672
Practice Address - Street 1:5870 SILVER HILL ROAD
Practice Address - Street 2:MINUTE CLINIC INSIDE CVS STORE
Practice Address - City:DISTRICT HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20747-0001
Practice Address - Country:US
Practice Address - Phone:301-736-3994
Practice Address - Fax:301-967-1344
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2009-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN43392363LF0000X
MDR109033363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD022871M72Medicare PIN
MD082NR872Medicare PIN