Provider Demographics
NPI:1932763513
Name:CROSBY, ASHLYN LUDWIG (PMHNP)
Entity Type:Individual
Prefix:
First Name:ASHLYN
Middle Name:LUDWIG
Last Name:CROSBY
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10760 WRIGLEY FIELD AVE
Mailing Address - Street 2:
Mailing Address - City:DENHAM SPRINGS
Mailing Address - State:LA
Mailing Address - Zip Code:70726-1839
Mailing Address - Country:US
Mailing Address - Phone:225-773-8663
Mailing Address - Fax:
Practice Address - Street 1:133 ASPEN SQ STE B
Practice Address - Street 2:
Practice Address - City:DENHAM SPRINGS
Practice Address - State:LA
Practice Address - Zip Code:70726-5322
Practice Address - Country:US
Practice Address - Phone:225-773-8663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA204288363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health