Kelley Veronica Cross
Nurse Practitioner - Family Medicine
301 N Maitland Ave
Maitland
, Florida 32751-4723
Kelley Veronica Cross
Nurse Practitioner - Family Medicine
301 N Maitland Ave
Maitland
, Florida 32751-4723
(407) 644-5967
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About
Features
Specialties
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Kelley Veronica Cross
- 301 N Maitland Ave
- Maitland, FL
- Zip : 32751-4723
- Fax : (407) 644-5967
- Phone : (407) 647-5996
Second Address
- Kelley Veronica Cross
- 301 N Maitland Ave
- Maitland, FL
- Zip : 32751-4723
- Fax : (407) 644-5967
- Phone : (407) 647-5996
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Is Kelley Veronica Cross a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 9356035 | FL |
National Provider Identifier
| NPI | 1003250234 |
|---|---|
| Provider Name | Kelley Veronica Cross |
| First Address | Maitland, FL 32751-4723 |
| Second Address | Maitland, FL 32751-4723 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2013 |
| Last Update Date | 18/04/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 279688100 | (05) | FL |
| 99931 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.