Individual
MS. BETTY A. CROXALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
232 W 25TH ST, ERIE, PA 16544-0002
(814) 452-5000
(814) 452-5348
Mailing address
444 W 8TH ST, ERIE, PA 16502-1385
(814) 454-8885
(814) 456-3856
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN304931L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2316578
—
OH
01
—
H089092
MEDICARE PTAN
OH
Enumeration date
09/07/2005
Last updated
05/03/2013
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