Cross, Angelique J.
Cross, Angelique J. is an individual health care provider with primary practice located at 999 Adams Blvd Ste 104-105 , Boulder City NV 89005-2244. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Cross, Angelique J. can be contacted via phone (702) 698-8342.Contact Information
Primary practice address
999 Adams Blvd Ste 104-105
Boulder City NV 89005-2244
Phone: (702) 698-8342
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209006597 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APRN001727 | Nevada |
Profile Details
NPI number | 1073714705 |
---|---|
LBN Legal business name | Cross, Angelique J. |
Credentials | NP-C |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 30th, 2007 |
Last updated | Dec 7th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1073714705 | NPPES |
Nevada | MEDICAID | 1073714705 |
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