| Doctor Name: | SHEA CROSS |
| NPI Number: | 1437529740 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP-CNP |
| License Number: | 99247 |
| Business Practice Address: | 1401 N 4th Ave Ste 202 Purcell, OK - 730801806 |
| Business Phone Number: | 4055277555 |
| Business Fax Number: | |
| Mailing Address: | 2139 Sunnyside Ln, PURCELL |
| State: | OK |
| Postal Code: | 730808303 |
| Phone Number: | 4056234752 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2015 |
| NPI Last Update Date: | 09/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | 99247 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |