Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 101.0134656 | VT |
Y | 363LA2200X | Nurse Practitioner - Adult Health | 310146 | NY |
N | 363LG0600X | Nurse Practitioner - Gerontology | 101.0134656 | VT |
N | 363LP2300X | Nurse Practitioner - Primary Care | 101.0134656 | VT |
NPI | 1013513217 |
---|---|
Provider Name | Dr. Maria Delia Crosby |
First Address | Shelburne, VT 05482-6911 |
Second Address | Bronx, NY 10459-2417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2020 |
Last Update Date | 17/01/2021 |