Crouch, Evelyn Small

Crouch, Evelyn Small is an individual health care provider with primary practice located at 1650 Response Rd , Sacramento CA 95815-4807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Crouch, Evelyn Small can be contacted via phone (916) 614-4170.

Contact Information

Primary practice address
1650 Response Rd Sacramento CA 95815-4807
Phone: (916) 614-4170
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X 322388 California

Profile Details

NPI number 1255402350
LBN Legal business name Crouch, Evelyn Small
Credentials NP, CNM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255402350 NPPES
California Other 322388 REGISTERED NURSE LICENCE

Popular Providers