Provider Demographics
NPI:1811053788
Name:NORCROSS, KRISTI RAE (CNM)
Entity type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:RAE
Last Name:NORCROSS
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:430 W SUNSET RD STE 301
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78209-1772
Mailing Address - Country:US
Mailing Address - Phone:210-538-8660
Mailing Address - Fax:210-538-8661
Practice Address - Street 1:430 W SUNSET RD STE 301
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78209
Practice Address - Country:US
Practice Address - Phone:210-538-8660
Practice Address - Fax:210-538-8661
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32039367A00000X
SDSD-CM000035367A00000X
TXAP143553363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife