Provider Demographics
NPI:1538352513
Name:CROSS, DEBBIE MARIE (CFM)
Entity type:Individual
Prefix:MRS
First Name:DEBBIE
Middle Name:MARIE
Last Name:CROSS
Suffix:
Gender:F
Credentials:CFM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1914 DR M L KING JR BLVD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4542
Mailing Address - Country:US
Mailing Address - Phone:252-514-0461
Mailing Address - Fax:
Practice Address - Street 1:1914 DR M L KING JR BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4542
Practice Address - Country:US
Practice Address - Phone:252-514-0461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7795215Medicaid