Provider Demographics
NPI:1821178450
Name:CROSBY, HOLLY DEE (APRN, BC, CNS)
Entity Type:Individual
Prefix:MS
First Name:HOLLY
Middle Name:DEE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:APRN, BC, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:330 S CASINO CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89101-6102
Mailing Address - Country:US
Mailing Address - Phone:702-671-5699
Mailing Address - Fax:702-366-0576
Practice Address - Street 1:330 S CASINO CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-6102
Practice Address - Country:US
Practice Address - Phone:702-671-5699
Practice Address - Fax:702-366-0576
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN69394364SP0809X
NVAPN001393363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult