Provider Demographics
NPI:1528200870
Name:CROSS, BARBARA ANGELIA (PHD, FNP, BC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANGELIA
Last Name:CROSS
Suffix:
Gender:F
Credentials:PHD, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 ESSEX PARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23669-1628
Mailing Address - Country:US
Mailing Address - Phone:757-850-4026
Mailing Address - Fax:
Practice Address - Street 1:100 EMANICAPTION DR
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23668-0001
Practice Address - Country:US
Practice Address - Phone:757-727-9961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024136694363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily