Healthcare Provider Details

I. General information

NPI: 1447101688
Provider Name (Legal Business Name): MADALYN RENEE CROSS RN-BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MADALYN RENEE RAINEY

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 02/04/2026
Certification Date: 02/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S DOBSON RD
MESA AZ
85202-4707
US

IV. Provider business mailing address

600 E CURRY RD APT 2089
TEMPE AZ
85288-0330
US

V. Phone/Fax

Practice location:
  • Phone: 480-412-3000
  • Fax:
Mailing address:
  • Phone: 660-822-1697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number2022025038
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: