Most Relevant Information
Provider Data
NPI Number: | 1003249442 |
Provider Name: | ELIZABETH LYNNE CROSS AGNP-C |
Entity Type: | Individual |
Taxonomy Code: | 363LG0600X |
Specialty: | Nurse Practitioner |
License Number: | 4704253344 |
Most Important Dates
Enumeration Date: | 08/20/2013 |
Last Updated: | 02/04/2016 |
Provider Practice Location
1310 WISCONSIN AVE
SUITE 100
GRAND HAVEN
MI
494172472
Practice Location Phone/Fax
Phone: | 6168444701 |
Fax: |
Provider Mailing Location
1310 WISCONSIN AVE
SUITE 101
GRAND HAVEN
MI
494172472
Provider Mailing Phone/Fax
Phone: | 6168444528 |
Fax: |