NPI 1053978403 · live from the CMS NPI Registry
Shelli Cross
Registered Nurse, Registered Nurse First Assistant in Roseburg, OR. National Provider Identifier 1053978403, active.
NPI record
| NPI | 1053978403 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, Registered Nurse First Assistant 163WR0006X |
| Practice location | 2700 Nw Stewart Pkwy, Roseburg, OR 97471 |
| Practice phone | 541-677-4845 |
| Enumerated | May 21, 2019 |
| Last updated | May 21, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Registered Nurse First Assistant primary | 163WR0006X | 201042095 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.