Provider Demographics
NPI:1265832802
Name:ENGLISH, SHIRLEY CROISSY I (DNP)
Entity type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:CROISSY
Last Name:ENGLISH
Suffix:I
Gender:F
Credentials:DNP
Other - Prefix:DR
Other - First Name:SHIRLEY
Other - Middle Name:
Other - Last Name:CROISSY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:PO BOX 246363
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-0122
Mailing Address - Country:US
Mailing Address - Phone:954-406-7240
Mailing Address - Fax:
Practice Address - Street 1:4200 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-7353
Practice Address - Country:US
Practice Address - Phone:954-406-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN9178294363LA2200X, 363LG0600X
FLAPRN363LP0808X
FLARNP9178294363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLRN9178294OtherFL RN LICENSE
FLAPRN9178294OtherFL APR N LICENSE