Gavin Crowther, APRN
Nurse Practitioner, Family in Minnetonka, MN. Individual provider (NPI-1).
NPI number1982185054
StatusActive
Last updated in NPPESJul 14, 2020
Details
- NPI
- 1982185054
- Entity type
- Individual (NPI-1)
- Name
- Gavin Crowther
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Certification date
- Jul 14, 2020
- Last updated
- Jul 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7245822-4405 | UT | Yes |
| 163W00000X | Registered Nurse | 7245822-3102 | UT |
Practice location
9900 Bren Rd EMinnetonka, MN 55343-9664
Phone 801-516-9856
Mailing address
2446 W 3425 NFarr West, UT 84404-8624
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