Provider Demographics
NPI:1063497469
Name:CROSSON, DENISE DAY (FNP,PHD)
Entity Type:Individual
Prefix:DR
First Name:DENISE
Middle Name:DAY
Last Name:CROSSON
Suffix:
Gender:F
Credentials:FNP,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 COMMONWEALTH DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1894
Mailing Address - Country:US
Mailing Address - Phone:434-987-5350
Mailing Address - Fax:434-480-3131
Practice Address - Street 1:4092 MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:CHINCOTEAGUE ISLAND
Practice Address - State:VA
Practice Address - Zip Code:23336-2405
Practice Address - Country:US
Practice Address - Phone:434-987-5350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-08
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024164480363LP0808X, 363LF0000X
VACARN-AP163WA0400X
VA0017137084363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024164480OtherPMHNP-BC AND FNP LICENSE
NV1063497469OtherNPI
WY39946.1634OtherPMHNP-BC LICENSE
VA1871256313OtherGROUP NPI
IAG147324OtherPMHNPBC LICENSE