STACY M CROSS


Address: 1506 Woodlawn Dr, Suite C, Baltimore, MD 21207-4035
Phone: 4435760909

STACY M CROSS (NPI# 1932453115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932453115
Entity Type Individual
Full Name STACY M CROSS
Credential CRNP
Practice Address 1506 Woodlawn Dr
Suite C
Baltimore
MD 21207-4035
Mailing Address 2301 Dorsey Rd
Suite C
Glen Burnie
MD 21061-3299
Practice Telephone 4435760909
Practice Fax Number 4102655294
Mailing Telephone 4435760909
Mailing Fax Number 4102655294
Enumeration Date 2012-11-09
Last Update Date 2017-02-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
R166058 MD Physician Assistants & Advanced Practice Nursing Providers

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NPI Name Taxonomy Address Enumeration
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Office Location

Street Address 1506 WOODLAWN DR
SUITE C
City BALTIMORE
State MD
Zip Code 21207-4035

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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