# TATIANA A. CRUZ TRUONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568909141
- **Gender:** F

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | ARNP9365396 | FL | — |
| 363LP2300X | Primary Care Nurse Practitioner | ARNP9365396 | FL | Yes |

## Other

- **Enumeration date:** 01/20/2017
- **Last updated:** 02/16/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 019843200 | — | FL |
| 01 | — | KR6GS | BLUE CROSS BLUE SHIELD | FL |