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NPI Code Detail

MEDICARE: MRS. MELISSA DEAL CROSS ANP/GNP-C

MEDICARE:  MRS. MELISSA DEAL CROSS  ANP/GNP-C
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
1363LG0600XGerontology Nurse Practitioner5006118NC
2363LA2200XAdult Health Nurse Practitioner5006118NC

General Provider Information

NPI Number : 1598007023
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA DEAL CROSS ANP/GNP-C
Provider Business Mailing Address
First Line : 22 IRVING PARK LN
Second Line :
City : GREENSBORO
State : NC
Zip : 27455-2473
Country : US
Telephone Number : 336-420-7844
Fax Number :
Provider Business Practice Location Address
First Line : 501 N ELAM AVE
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-1118
Country : US
Telephone Number : 336-832-1895
Fax Number : 336-832-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2013
Last Update Date : 09/17/2021

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Directions to “ MRS. MELISSA DEAL CROSS ANP/GNP-C” Practice Location

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