Vickie Gill Cruse, AU.D.
Individual provider Active NPI Audiologist · Pascagoula, MS
NPI 1487860979 · NPPES record last updated Jan 12, 2022
Key facts
- NPI
- 1487860979
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- A3139 (MS)
- Practice address
- 2926 Market St
Pascagoula, MS 39567-5163 - Phone
- (228) 762-1980
- Fax
- (228) 696-8917
- NPI assigned
- May 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | A3139 | MS | Yes |
Addresses
Primary practice location
2926 Market St
Pascagoula, MS 39567-5163
Mailing address
PO Box 136
Pascagoula, MS 39568-0136
Phone (228) 762-1980
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All providers in Pascagoula, MS · Audiologist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.