Individual
MS. SUSAN L. CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, BC-ADM
Contact information
Practice address
2480 BERKSHIRE PKWY, CLIVE, IA 50325-4683
(515) 987-5188
(515) 987-8152
Mailing address
2213 GRAND AVE, DES MOINES, IA 50312-5305
(515) 237-3974
(515) 883-2692
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
059121
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649560236
BCBS
IA
Enumeration date
10/06/2005
Last updated
04/19/2016
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