Healthcare Provider Details

I. General information

NPI: 1316001019
Provider Name (Legal Business Name): TONYA P CROSBY ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 AVON ST
KEENE NH
03431-3516
US

IV. Provider business mailing address

45 MAIN ST STE 101
PETERBOROUGH NH
03458-2433
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-4400
  • Fax:
Mailing address:
  • Phone: 603-689-7644
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number055886-23-08
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: