Provider Demographics
NPI:1891679338
Name:CROSBY, MYKALA R (RN)
Entity type:Individual
Prefix:
First Name:MYKALA
Middle Name:R
Last Name:CROSBY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 ARCHER GLEN AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-3349
Mailing Address - Country:US
Mailing Address - Phone:702-410-3553
Mailing Address - Fax:
Practice Address - Street 1:58 ARCHER GLEN AVE
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-3349
Practice Address - Country:US
Practice Address - Phone:702-410-3553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV878554163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health