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Individual
SHAWNETTE LATRICE CRUZ
Active
Individual
SHAWNETTE LATRICE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
320561
NC
363LF0000X
Family Nurse Practitioner
Primary
5018189
NC
Other
Enumeration date
04/24/2023
Last updated
02/19/2025
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