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NPI Code Detail

MEDICARE: STEPHANIE MARIE CROSS FNP-C, APRN

MEDICARE: STEPHANIE MARIE CROSS FNP-C, APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner4704281275MI

General Provider Information

NPI Number : 1235062589
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE MARIE CROSS FNP-C, APRN
Provider Business Mailing Address
First Line : PO BOX 300
Second Line :
City : MENDON
State : MI
Zip : 49072-0300
Country : US
Telephone Number : 269-625-2564
Fax Number :
Provider Business Practice Location Address
First Line : 311 N GRAND ST
Second Line :
City : SCHOOLCRAFT
State : MI
Zip : 49087-5110
Country : US
Telephone Number : 269-762-0223
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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