Diana R Senior-Crosby, NP
Individual provider Active NPI Nurse Practitioner · Atlanta, GA
NPI 1790802015 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1790802015
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- RN155684 (GA)
- Practice address
- 150 Locust St NE
Atlanta, GA 30317-1011 - Phone
- (404) 376-4745
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN155684 | GA | Yes |
Addresses
Primary practice location
150 Locust St NE
Atlanta, GA 30317-1011
Mailing address
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 778-7717
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All providers in Atlanta, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.