Healthcare Provider Details

I. General information

NPI: 1457182909
Provider Name (Legal Business Name): BRIANNA CROOKS FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/07/2024
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24251 TOWN CENTER DR BLDG B STE 175 RM 127
VALENCIA CA
91355-4588
US

IV. Provider business mailing address

24510 TOWN CENTER DR STE 180
VALENCIA CA
91355-1357
US

V. Phone/Fax

Practice location:
  • Phone: 661-214-9144
  • Fax:
Mailing address:
  • Phone: 661-260-3021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028575
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: