MEDICARE: KATIE CROSEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	0001304032	VA

General Provider Information

NPI Number	:	1871433052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATIE CROSEN

Provider Business Mailing Address
First Line	:	126 PITTMAN CT
Second Line	:
City	:	STEPHENS CITY
State	:	VA
Zip	:	22655-2891
Country	:	US
Telephone Number	:	920-609-9106
Fax Number	:

Provider Business Practice Location Address
First Line	:	7474 LIMESTONE DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-4007
Country	:	US
Telephone Number	:	703-721-7218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	06/04/2026

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Directions to “ KATIE CROSEN ” Practice Location

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