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
Phone: (574) 335-6000
Fax: (574) 335-0738
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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