Crownhart, Jennifer A

Crownhart, Jennifer A is an sole proprietor health care provider with primary practice located at 1020 N. San Francisco St. , Flagstaff AZ 86001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Crownhart, Jennifer A can be contacted via phone (928) 699-9448.

Contact Information

Primary practice address
1020 N. San Francisco St. Flagstaff AZ 86001
Phone: (928) 699-9448
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN097480 Arizona

Profile Details

NPI number 1639252125
LBN Legal business name Crownhart, Jennifer A
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 20th, 2006
Last updated May 12th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639252125 NPPES
Arizona MEDICAID 394974
Arizona Other 430053651
Arizona Other AZ0090910

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