Provider Demographics
NPI:1679455059
Name:CROWLEY, MCKENNA ALYSE
Entity type:Individual
Prefix:
First Name:MCKENNA
Middle Name:ALYSE
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1524 BATH ST APT 5
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93101-6694
Mailing Address - Country:US
Mailing Address - Phone:805-705-9961
Mailing Address - Fax:
Practice Address - Street 1:1524 BATH ST APT 5
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-6694
Practice Address - Country:US
Practice Address - Phone:805-705-9961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist