Individual
LATANYA S CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18200 WESTLAND AVE, SOUTHFIELD, MI 48075-7170
(734) 516-7571
Mailing address
18600 PINEHURST, DETROIT, MI 48221
(734) 516-7571
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704284253
MI
363LF0000X
Family Nurse Practitioner
4704284253
MI
Other
Enumeration date
11/03/2014
Last updated
08/25/2025
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