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NPI Code Detail

MEDICARE: DR. DENISE DAY CROSSON FNP,PH.D.

MEDICARE:  DR. DENISE DAY CROSSON  FNP,PH.D.
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner0024164480VA
2163WA0400XAddiction (Substance Use Disorder) Registered NurseCARN-APVA
3363LF0000XFamily Nurse Practitioner0017137084VA
4363LF0000XFamily Nurse Practitioner0024164480VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10024164480OTHERVAPMHNP-BC AND FNP LICENSE
21063497469OTHERNVNPI
339946.1634OTHERWYPMHNP-BC LICENSE
41871256313OTHERVAGROUP NPI
5G147324OTHERIAPMHNPBC LICENSE

General Provider Information

NPI Number : 1063497469
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENISE DAY CROSSON FNP,PH.D.
Provider Business Mailing Address
First Line : 2300 COMMONWEALTH DR STE 100
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22901-1894
Country : US
Telephone Number : 434-987-5350
Fax Number : 434-480-3131
Provider Business Practice Location Address
First Line : 4092 MAIN ST STE A
Second Line :
City : CHINCOTEAGUE ISLAND
State : VA
Zip : 23336-2405
Country : US
Telephone Number : 434-987-5350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2005
Last Update Date : 05/20/2022

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Directions to “ DR. DENISE DAY CROSSON FNP,PH.D.” Practice Location

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