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NPI Code Detail

MEDICARE: DANIEL JEFFERY CROSBY

MEDICARE: DANIEL JEFFERY CROSBY
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
1363LF0000XFamily Nurse Practitioner820849NV

General Provider Information

NPI Number : 1710833629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL JEFFERY CROSBY
Provider Business Mailing Address
First Line : 701 CHIMNEY ROCK DR
Second Line :
City : HENDERSON
State : NV
Zip : 89002-8331
Country : US
Telephone Number : 702-544-2075
Fax Number :
Provider Business Practice Location Address
First Line : 3186 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-2317
Country : US
Telephone Number : 702-961-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2026
Last Update Date : 03/05/2026

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Directions to “ DANIEL JEFFERY CROSBY ” Practice Location

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