Individual
VICTORIA CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
191 MEMORIAL DR, BERLIN, WI 54923-1241
(920) 361-2500
(920) 361-2973
Mailing address
191 MEMORIAL DR, BERLIN, WI 54923-1241
(920) 361-2500
(920) 361-2973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
86971-030
WI
363L00000X
Nurse Practitioner
424-033
WI
363LF0000X
Family Nurse Practitioner
Primary
424
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43986200
—
WI
Enumeration date
08/02/2005
Last updated
10/03/2017
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