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Individual

STACY M CROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1506 WOODLAWN DR, SUITE C, BALTIMORE, MD 21207-4035
(443) 576-0909
(410) 265-5294
Mailing address
2301 DORSEY RD, SUITE C, GLEN BURNIE, MD 21061-3299
(443) 576-0909
(410) 265-5294

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R166058
MD

Other

Enumeration date
11/09/2012
Last updated
02/28/2017
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