Individual
DUSTIN MICHAEL CROVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, AG-ACNP, ENP
Contact information
Practice address
1201 S HAYES ST, ARLINGTON, VA 22202-2700
(703) 418-3790
Mailing address
178 ZEUS MILL LN, MADISON, VA 22727-3110
(321) 223-1723
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
11007688
FL
363LF0000X
Family Nurse Practitioner
Primary
0024180482
VA
363LG0600X
Gerontology Nurse Practitioner
0024180482
VA
Other
Enumeration date
07/08/2020
Last updated
04/28/2021
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