| NPI | 1578721544 |
|---|---|
| Other Name | JAKE L CROSBY |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: ID 62128) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 14-103663-111) |
| 163W00000X Registered Nurse (Licence: UT 501146-3102) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: KS 55640) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WY 268930997) | |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2019-10-11 |