Basic Information
| Provider Information | |||||||||
| NPI: | 1285738575 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CROWLEY | ||||||||
| FirstName: | ANGELA | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | PHD APRN BC PNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 9740 | ||||||||
| Address2: | 100 CHURCH ST SOUTH YALE UNIV SCHOOL OF NURSING | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 065360740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037372548 | ||||||||
| FaxNumber: | 2037856455 | ||||||||
| Practice Location | |||||||||
| Address1: | 20 YORK ST | ||||||||
| Address2: | PCC YALE NEW HAVEN HOSPITAL PEDIATRIC PRIMARY CARE CTR | ||||||||
| City: | NEW HAVEN | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06510 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2036884288 | ||||||||
| FaxNumber: | 2036885343 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/08/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163W00000X | R27369 RN | CT | X | Nursing Service Providers | Registered Nurse | 363LP0200X | 000060 APRN | CT | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Pediatrics |
No ID Information.