Provider Demographics
NPI:1063004661
Name:CROSBY, MARGARET LYNN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:LYNN
Last Name:CROSBY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2501 N 14TH ST
Mailing Address - Street 2:
Mailing Address - City:PONCA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:74601-1734
Mailing Address - Country:US
Mailing Address - Phone:580-749-5076
Mailing Address - Fax:
Practice Address - Street 1:1347 EDWARDS ST
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73703-8533
Practice Address - Country:US
Practice Address - Phone:440-387-3975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-05
Last Update Date:2023-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant