Provider Demographics
NPI:1407691900
Name:CROSS, VERONICA ANN (PHLEBOTOMY CPT)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:ANN
Last Name:CROSS
Suffix:
Gender:F
Credentials:PHLEBOTOMY CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 N 37TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53210-1801
Mailing Address - Country:US
Mailing Address - Phone:414-699-3269
Mailing Address - Fax:
Practice Address - Street 1:2950 N 37TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53210-1801
Practice Address - Country:US
Practice Address - Phone:414-699-3269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-26
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI10147107246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy