Cross, Raven

Cross, Raven is an sole proprietor health care provider with primary practice located at 1165 Lincoln Ave Ste 150 , San Jose CA 95125-3045. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Cross, Raven can be contacted via phone (408) 372-8580.

Contact Information

Primary practice address
1165 Lincoln Ave Ste 150 San Jose CA 95125-3045
Phone: (408) 372-8580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X 95142217 California
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 0024183375 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95019647 California

Profile Details

NPI number 1114596624
LBN Legal business name Cross, Raven
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 18th, 2021
Last updated May 25th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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