Individual provider · Type 1 NPI

Candice Crow

Gerontology Nurse Practitioner · Shreveport, LA

NPI number 1376142893 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Mailing address

1520 Leanne Loop
Bastrop, LA 71220-6104

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X207014 (LA)
Gerontology Nurse Practitioner Primary 363LG0600X207014 (LA)

Gerontology Nurse Practitioner: Definition to come...

490 other providers at this address

Other gerontology nurse practitioner providers in Shreveport

See all in Shreveport →

About NPI 1376142893

Candice Crow's National Provider Identifier is 1376142893, issued on Oct 26, 2020. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shreveport, LA. The record was last updated on Nov 11, 2020.