Provider Demographics
NPI:1598649949
Name:CROW, TOBY (RN, BSN, CCM)
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:CROW
Suffix:
Gender:M
Credentials:RN, BSN, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14008 DOLLARWAY RD
Mailing Address - Street 2:
Mailing Address - City:WHITE HALL
Mailing Address - State:AR
Mailing Address - Zip Code:71602-9144
Mailing Address - Country:US
Mailing Address - Phone:870-515-0920
Mailing Address - Fax:877-236-7382
Practice Address - Street 1:14008 DOLLARWAY RD
Practice Address - Street 2:
Practice Address - City:WHITE HALL
Practice Address - State:AR
Practice Address - Zip Code:71602-9144
Practice Address - Country:US
Practice Address - Phone:870-515-0920
Practice Address - Fax:877-236-7382
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR056164163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management