Healthcare Provider Details

I. General information

NPI: 1699699520
Provider Name (Legal Business Name): PATRICIA CROUSSETT MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 W 21ST ST FL 2
NORFOLK VA
23517-1950
US

IV. Provider business mailing address

520 W 21ST ST FL 2
NORFOLK VA
23517-1950
US

V. Phone/Fax

Practice location:
  • Phone: 833-782-2229
  • Fax:
Mailing address:
  • Phone: 833-782-2229
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: