Provider Demographics
NPI:1740556562
Name:CROSBY, AMBER L (APRN, CNP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:L
Last Name:CROSBY
Suffix:
Gender:F
Credentials:APRN, CNP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:L
Other - Last Name:OVERTURFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1601 SW 89TH ST STE D200
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73159-6383
Mailing Address - Country:US
Mailing Address - Phone:405-708-4498
Mailing Address - Fax:
Practice Address - Street 1:1601 SW 89TH ST STE D200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73159-6383
Practice Address - Country:US
Practice Address - Phone:405-708-4498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-26
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK94675363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily