Individual
CHERI B CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2400 32ND AVE S, FARGO, ND 58103-5800
(701) 234-8800
Mailing address
PO BOX 2168, FARGO, ND 58122-2168
(701) 234-2525
(701) 234-4877
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
R25892
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84201
—
ND
Enumeration date
09/14/2012
Last updated
02/12/2013
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