Individual
GABRIELLE RENEE CROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3190
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
041464080
IL
363LF0000X
Family Nurse Practitioner
Primary
209025868
IL
Other
Enumeration date
09/01/2022
Last updated
11/22/2023
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