Individual
MRS. DANIELLE KANAVY CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9600 PULASKI PARK DR STE 103, BALTIMORE, MD 21220-1472
(443) 725-8245
(443) 725-8217
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0001142337
VA
363L00000X
Nurse Practitioner
Primary
APRN.CNP.023594
OH
Other
Enumeration date
08/01/2018
Last updated
01/14/2021
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