Individual
MRS. NANCY KANE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4080 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4080
(703) 246-4992
(703) 352-0217
Mailing address
4080 CHAIN BRIDGE RD, FAIRFAX, VA 22030-4080
(703) 246-4992
(703) 352-0217
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110840826
VA
Other
Enumeration date
05/25/2012
Last updated
05/25/2012
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