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Individual

MRS. GINA MARIE CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
17 ARENTZEN BLVD STE 204, CHARLEROI, PA 15022-1085
(724) 489-0220
(724) 489-0855
Mailing address
575 COAL VALLEY RD STE 204, CLAIRTON, PA 15025-3724
(412) 466-2220
(412) 466-4048

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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