Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. THERESA LYNN CROWDER, PAC
Active Sole ProprietorMS. THERESA LYNN CROWDER, PAC is a Physician Assistant healthcare provider located in MILFORD, Illinois. NPI 1619961737 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MILFORD, IL
Registration Details
- NPI Number
- 1619961737
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 2, 2005 (20.911638292154 yrs)
- Last Updated
- Jul 8, 2007
- Licenses
-
5601003575 (MI)85002866 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
207 N AXTEL AVEMILFORD, IL, 609531003Browse IL providers · Browse ZIP 60953
- Phone
- 8158894241
- Fax
- 8158894244
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.