Marie Chantale Crosse
Nurse Practitioner - Community Health
801 Viney Grove Rd
Prairie Grove
, Arkansas 72753-2623
Marie Chantale Crosse
Nurse Practitioner - Community Health
801 Viney Grove Rd
Prairie Grove
, Arkansas 72753-2623
(479) 751-2878
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Marie Chantale Crosse
- 614 E Emma Ave Ste 300
- Springdale, AR
- Zip : 72764-4469
- Fax : (479) 751-2878
- Phone : (479) 751-7417
Second Address
- Marie Chantale Crosse
- 801 Viney Grove Rd
- Prairie Grove, AR
- Zip : 72753-2623
- Fax : (479) 400-6024
- Phone : (479) 846-8100
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Is Marie Chantale Crosse a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LC1500X | Nurse Practitioner - Community Health | A01830ANP | AR |
National Provider Identifier
| NPI | 1205846813 |
|---|---|
| Provider Name | Marie Chantale Crosse |
| First Address | Springdale, AR 72764-4469 |
| Second Address | Prairie Grove, AR 72753-2623 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 02/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 155918758 | (05) | AR |
| P30448 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.