Provider Demographics
NPI:1366094864
Name:CROSBY, CINDY MARIE
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:MARIE
Last Name:CROSBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32813 MIDDLEBELT ROAD
Mailing Address - Street 2:STE G
Mailing Address - City:FARMINGON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334-1702
Mailing Address - Country:US
Mailing Address - Phone:248-818-3994
Mailing Address - Fax:248-862-2211
Practice Address - Street 1:32813 MIDDLEBELT ROAD
Practice Address - Street 2:STE G
Practice Address - City:FARMINGON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334-1702
Practice Address - Country:US
Practice Address - Phone:248-818-3994
Practice Address - Fax:248-862-2211
Is Sole Proprietor?:No
Enumeration Date:2019-07-15
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704285751163WI0500X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy