Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Crossroads Health & Cosmetic Center PC

Organization Nurse Practitioner · NPI 1700259173

Crossroads Health & Cosmetic Center PC is a Nurse Practitioner in Goshen, Indiana. Licensed in Indiana. Registered with an NPI since 2015.

Licensed in
IN
In the registry since
2015
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

21764 Omega Ct
Goshen, IN 46528-7809
Phone: (574) 891-4920
Fax: (574) 891-4902
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71002933A (IN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 71002933A (IN)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 71002933A (IN)

Record details

NPI number1700259173
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Roth — Nurse Practitioner · (574) 891-4920
NPI enumeratedNovember 7, 2015
Last updated in NPPESSeptember 9, 2019
Mailing address21764 Omega Ct, Goshen, IN 46528-7809

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