Individual
SUSAN CROSSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
123 SUMMER ST, SUITE 150 S, WORCESTER, MA 01608
(508) 368-3110
(508) 368-3113
Mailing address
630 PLANTATION ST, WORCESTER, MA 01605
(508) 368-3110
(508) 368-3113
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
193924
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0381250
MEDICAID WELFARE
—
05
—
0381250
—
MA
01
—
04247226
ONE HEALTH PLAN
—
01
—
042472266
THREE RIVERS
—
01
—
3163834
CIGNA HEALTH PLAN
—
01
—
381305
MVP HEALTH CARE
—
01
—
39861
HEALTHY START
—
01
—
61212
FALLON COMMUNITY HEALTH
—
01
—
7977623
AETNA US HEALTHCARE
—
01
—
AA3470
HARVARD PILGRIM
—
01
—
CN0160
BLUE SHIELD INDEMNITY
—
01
—
RN0018
MEDICARE B
—
Enumeration date
02/15/2006
Last updated
01/30/2009
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