Provider Demographics
NPI:1013959022
Name:CROSSER, LINDA GRAHAM (RN CNS)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:GRAHAM
Last Name:CROSSER
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Gender:F
Credentials:RN CNS
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Mailing Address - Street 1:4440 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-3315
Mailing Address - Country:US
Mailing Address - Phone:816-561-9200
Mailing Address - Fax:816-561-5766
Practice Address - Street 1:4440 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-3315
Practice Address - Country:US
Practice Address - Phone:816-561-9200
Practice Address - Fax:816-561-5766
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-12
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MO077756364SG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SG0600XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
R88982Medicare UPIN