Individual
PATRICK ROWAN CROSS
Active
Individual
PATRICK ROWAN CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28162309A
IN
367500000X
Certified Registered Nurse Anesthetist
5135A
KY
367500000X
Certified Registered Nurse Anesthetist
ARNP9188704
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200808230
—
IN
01
—
360952
ANTHEM BCBS PROVIDER #
IN
01
—
P00258626
MEDICARE RAILROAD
IN
Enumeration date
06/01/2006
Last updated
06/11/2008
Update your record
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