Individual
AMY E CROSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
211 N EDDY ST, SOUTH BEND, IN 46617-3096
(574) 234-8161
Mailing address
211 N EDDY ST, SOUTH BEND, IN 46617-2808
(574) 234-8161
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
71002016
IN
363LF0000X
Family Nurse Practitioner
Primary
71002016A
IN
Other
Enumeration date
09/29/2008
Last updated
06/12/2025
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