Provider Demographics
NPI:1689722506
Name:CROSBY, LINDA F (NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:F
Last Name:CROSBY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:365 STIRRUP KEY BLVD
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:FL
Mailing Address - Zip Code:33050-2943
Mailing Address - Country:US
Mailing Address - Phone:561-368-4997
Mailing Address - Fax:561-362-0588
Practice Address - Street 1:365 STIRRUP KEY BLVD
Practice Address - Street 2:
Practice Address - City:MARATHON
Practice Address - State:FL
Practice Address - Zip Code:33050-2943
Practice Address - Country:US
Practice Address - Phone:561-368-4997
Practice Address - Fax:561-362-0588
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA5097363L00000X
FLARNP891701363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P71617Medicare UPIN