Healthcare Provider Details
I. General information
NPI: 1164053906
Provider Name (Legal Business Name): ERIN LEE CROW LOSEY FNP - C, APRN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/30/2020
Last Update Date: 03/11/2020
Certification Date: 03/11/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7000 E BROAD ST
COLUMBUS OH
43213-1519
US
IV. Provider business mailing address
2620 ELM HILL PIKE
NASHVILLE TN
37214-3108
US
V. Phone/Fax
- Phone: 614-328-0335
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | APRN.CNP.026187 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LP2300X |
| Taxonomy | Primary Care Nurse Practitioner |
| License Number | APRN.CNP.026187 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: