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NPI Code Detail

MEDICARE: CROSEN MEDICAL, LLC

MEDICARE: CROSEN MEDICAL, LLC
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
1363LA2200XAdult Health Nurse Practitioner1-105028AL

General Provider Information

NPI Number : 1528330842
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSEN MEDICAL, LLC
Provider Business Mailing Address
First Line : 96 ALI WAY
Second Line :
City : OXFORD
State : AL
Zip : 36203-1835
Country : US
Telephone Number : 256-832-8802
Fax Number : 256-832-8877
Provider Business Practice Location Address
First Line : 96 ALI WAY
Second Line :
City : OXFORD
State : AL
Zip : 36203-1835
Country : US
Telephone Number : 256-832-8802
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ZACHARY CROSEN
Credential :
Telephone Number : 256-454-2508
Provider Enumeration Date : 02/01/2012
Last Update Date : 05/30/2024

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Directions to “CROSEN MEDICAL, LLC ” Practice Location

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