# CROSEN MEDICAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528330842
- **Authorized official:** ZACHARY CROSEN (OFFICE MANAGER)
- **Authorized official phone:** (256) 454-2508

## Contact information

- **Practice address:** 96 ALI WAY, OXFORD, AL 36203-1835
- **Practice address phone:** (256) 832-8802
- **Mailing address:** 96 ALI WAY, OXFORD, AL 36203-1835
- **Mailing address phone:** (256) 832-8802
- **Mailing address fax:** (256) 832-8877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | 1-105028 | AL | Yes |

## Other

- **Enumeration date:** 02/01/2012
- **Last updated:** 05/30/2024