Organization · Type 2 NPI

Crossroads Health & Cosmetic Center PC

Nurse Practitioner · Goshen, IN

NPI number 1700259173 Active

Practice location

21764 Omega Ct
Goshen, IN 46528-7809

Fax (574) 891-4902

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X71002933A (IN)
Acute Care Nurse Practitioner 363LA2100X71002933A (IN)
Primary Care Nurse Practitioner 363LP2300X71002933A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1700259173

Crossroads Health & Cosmetic Center PC's National Provider Identifier is 1700259173, issued on Nov 7, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Goshen, IN. The record was last updated on Sep 9, 2019.