# MRS. DANIELLE KANAVY CROUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1164900049
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0001142337 | VA | — |
| 363L00000X | Nurse Practitioner | APRN.CNP.023594 | OH | Yes |

## Other

- **Enumeration date:** 08/01/2018
- **Last updated:** 01/14/2021
