Provider Demographics
NPI:1447495908
Name:CROSSON, SHARON DENISE (LPN)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:DENISE
Last Name:CROSSON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 W 116TH ST # 174
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10026-2508
Mailing Address - Country:US
Mailing Address - Phone:646-242-4366
Mailing Address - Fax:
Practice Address - Street 1:5 DAVIS ST
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-1704
Practice Address - Country:US
Practice Address - Phone:646-242-4366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY284346-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse