Cross, Stephanie Lynn

Cross, Stephanie Lynn is an individual health care provider with primary practice located at 611 E Douglas Rd Ste 208 , Mishawaka IN 46545-1465. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Cross, Stephanie Lynn can be contacted via phone (574) 335-6000.

Contact Information

Primary practice address
611 E Douglas Rd Ste 208 Mishawaka IN 46545-1465
Fax: (574) 335-0738
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 28180509A Indiana

Profile Details

NPI number 1932791928
LBN Legal business name Cross, Stephanie Lynn
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2021
Last updated Sep 17th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932791928 NPPES
Indiana Other 000001541103 ANTHEM
Indiana Other 000001541231 ANTHEM
Indiana Other 000001541707 ANTHEM
Indiana MEDICAID 300049729 ANTHEM

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