Provider Demographics
NPI:1821421942
Name:NP SKINCARE
Entity type:Organization
Organization Name:NP SKINCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CROSSON
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:860-324-0844
Mailing Address - Street 1:31 MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-1551
Mailing Address - Country:US
Mailing Address - Phone:860-324-0844
Mailing Address - Fax:
Practice Address - Street 1:39 NEW LONDON TPKE STE 218
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4208
Practice Address - Country:US
Practice Address - Phone:860-999-1062
Practice Address - Fax:877-915-7942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002480174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty