Doctor Name: | MRS. RACHEL LEIGH CROSS |
NPI Number: | 1003248659 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN, CPNP-PC |
License Number: | 95106 |
Business Practice Address: | 1200 Childrens Ave Suite 10000 Oklahoma City, OK - 731044637 |
Business Phone Number: | 4052714412 |
Business Fax Number: | |
Mailing Address: | 1200 Childrens Ave, Suite 10000 OKLAHOMA CITY |
State: | OK |
Postal Code: | 731044637 |
Phone Number: | 4052714412 |
Fax Number: | |
NPI Enumeration Date: | 08/06/2013 |
NPI Last Update Date: | 08/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 95106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |