Individual
MRS. EMILY KAY CROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3801 S NATIONAL AVE STE 900, SPRINGFIELD, MO 65807-5210
(417) 885-3888
(417) 520-5959
Mailing address
PO BOX 4024, SPRINGFIELD, MO 65808-4024
(417) 885-3888
(417) 520-5959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2004018102
MO
363LF0000X
Family Nurse Practitioner
Primary
2013004691
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861735300
—
MO
05
—
198607758
—
AR
01
—
431560263
TRICARE
MO
01
—
P01208063
RR MCR
MO
Enumeration date
04/03/2013
Last updated
09/30/2021
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