| Doctor Name: | MRS. ELIZABETH LYNNE CROSS |
| NPI Number: | 1003249442 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGNP-C |
| License Number: | 4704253344 |
| Business Practice Address: | 1310 Wisconsin Ave Suite 100 Grand Haven, MI - 494172472 |
| Business Phone Number: | 6168444701 |
| Business Fax Number: | |
| Mailing Address: | 1310 Wisconsin Ave, Suite 101 GRAND HAVEN |
| State: | MI |
| Postal Code: | 494172472 |
| Phone Number: | 6168444528 |
| Fax Number: | |
| NPI Enumeration Date: | 08/20/2013 |
| NPI Last Update Date: | 02/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 4704253344 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |