Organization
CHINCOTEAGUE MAIN STREET LLC
Active
Other names
Chincoteague Health
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CROSSON PMHNP-BC (PRESIDENT)
(434) 987-5350
Entity
Organization
Contact information
Practice address
4092 MAIN ST, CHINCOTEAGUE, VA 23336-2405
(434) 987-5350
Mailing address
4092 MAIN ST, CHINCOTEAGUE, VA 23336-2405
(434) 987-5350
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/21/2021
Last updated
05/08/2023
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