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Individual
MRS. GINA MARIE CROSS
Active
Individual
MRS. GINA MARIE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SPO12092
PA
363LF0000X
Family Nurse Practitioner
SPO12092
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027224100007
—
PA
05
—
1027224100013
—
PA
Enumeration date
05/14/2012
Last updated
05/17/2024
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