Individual
AMANDA MARIE CROSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5500 PINEBROOK RD STE 202, NORTH VENICE, FL 34275-3678
(941) 408-0500
(941) 496-8558
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11001934
FL
363LG0600X
Gerontology Nurse Practitioner
RN322320
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116411100
—
FL
Enumeration date
07/01/2019
Last updated
03/05/2026
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