Provider Demographics
NPI:1942233606
Name:CROSSIN, KAREN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:CROSSIN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 100
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-0100
Mailing Address - Country:US
Mailing Address - Phone:352-474-0769
Mailing Address - Fax:
Practice Address - Street 1:25737 SW 20TH PL
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-5000
Practice Address - Country:US
Practice Address - Phone:352-474-0769
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1843842363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP1843842OtherFL BOARD OF NURSING
FL1538479423OtherVISITS2U, PLLC BUSINESS NPI NUMBER
FLE8329ROtherINDIVIDUAL MEDICARE PTAN NUMBER
FL305199400Medicaid
FLDR727AOtherVISITS2U, PLLC BUSINESS MEDICARE PTAN NUMBER
FL305199400Medicaid