Provider Demographics
NPI:1538756432
Name:CROSBY, CHELSEA LYNNE (APRN)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:LYNNE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:LYNNE
Other - Last Name:UMPLEBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1001 LAUREL OAK RD STE A2
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-3512
Mailing Address - Country:US
Mailing Address - Phone:856-566-8600
Mailing Address - Fax:
Practice Address - Street 1:1001 LAUREL OAK RD
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-3512
Practice Address - Country:US
Practice Address - Phone:856-566-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-25
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP022137363LF0000X
NJ26NJ01089800363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily