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Contact Information

HEATHER CROSSLEY
1675 E RIVERSIDE DR STE 200
EAGLE, ID83616-7473
 Phone: 385-427-1570
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for HEATHER CROSSLEY · (Female)

NPI Number 1154863827
Status Active
Credentials
Entity Individual
Enumeration date 11/13/2016
Last updated 05/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • ID License # 66212
  • ID License # N-28059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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