| Doctor Name: | JAMES MICHAEL CROWNOVER |
| NPI Number: | 1013908953 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP-C |
| License Number: | 92758 |
| Business Practice Address: | 1710 1st St Alamosa, CO - 811012302 |
| Business Phone Number: | 7195893658 |
| Business Fax Number: | 7195890997 |
| Mailing Address: | 1710 1st St, ALAMOSA |
| State: | CO |
| Postal Code: | 811012302 |
| Phone Number: | 7195893658 |
| Fax Number: | 7195890997 |
| NPI Enumeration Date: | 10/31/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 92758 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |