| Doctor Name: | DR. TERESA COLLIER CROSBY |
| NPI Number: | 1083663140 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 536588 |
| Business Practice Address: | 1021 Holden St Glen Rose, TX - 760434937 |
| Business Phone Number: | 2548971425 |
| Business Fax Number: | 2548971427 |
| Mailing Address: | Po Box 8748, BELFAST |
| State: | ME |
| Postal Code: | 049158748 |
| Phone Number: | 2548971425 |
| Fax Number: | 2548971427 |
| NPI Enumeration Date: | 05/08/2006 |
| NPI Last Update Date: | 10/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 536588 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |