Individual provider · Type 1 NPI

Luiza Roese Crosby

Nurse Practitioner · Grovetown, GA

NPI number 1114642980 Active

Practice location

932 Sedgefield Cir
Grovetown, GA 30813-5860

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAPN26652 (SC)
Nurse Practitioner Primary 363L00000XRN265323 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1114642980

Luiza Roese Crosby's National Provider Identifier is 1114642980, issued on Oct 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Grovetown, GA. The record was last updated on Sep 16, 2026.