Individual
TARA LEIGH CROSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3001 CHURCHLAND BLVD, CHESAPEAKE, VA 23321-5603
(252) 619-5481
Mailing address
168 GREEN VIEW RD, MOYOCK, NC 27958-9243
(252) 619-5481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
219840
NC
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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