Provider Demographics
NPI:1013312065
Name:CROSBIE, ERIN LYNN WELLER (FNP-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:LYNN WELLER
Last Name:CROSBIE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 W 12TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-2720
Mailing Address - Country:US
Mailing Address - Phone:562-264-4695
Mailing Address - Fax:562-264-4273
Practice Address - Street 1:1301 W 12TH ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-2720
Practice Address - Country:US
Practice Address - Phone:562-264-4695
Practice Address - Fax:562-264-4273
Is Sole Proprietor?:No
Enumeration Date:2014-10-31
Last Update Date:2015-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95001350363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily