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Contact Information

CANDICE CROW
1541 KINGS HWY
SHREVEPORT, LA71103-4228
 Phone: 318-330-7000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for CANDICE CROW · (Female)

NPI # 1376142893
Status Active
Credentials
Entity Individual
Enumeration date 10/26/2020
Last updated 11/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 207014
Hospital affiliation(s)
  • E A CONWAY MEDICAL CENTER - (Acute Care)
    4864 JACKSON STREET
    MONROE, LA 71202
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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