Individual
LAURA CROTTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11 PROSPECT TER, EAST RUTHERFORD, NJ 07073-1407
(201) 212-9633
Mailing address
11 PROSPECT TER, EAST RUTHERFORD, NJ 07073-1407
(201) 212-9633
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
TMP-160968
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01375500
NJ
363LA2200X
Adult Health Nurse Practitioner
F310942
NY
Other
Enumeration date
07/12/2022
Last updated
01/29/2025
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