Organization
DE LA CRUZ NURSE PRACTITIONER IN PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHELLE CAMELLE DE LA CRUZ PMHNP-BC (NURSE PRACTITIONER/ OWNER)
(716) 819-7561
Entity
Organization
Contact information
Practice address
5330 GENESEE ST, BOWMANSVILLE, NY 14026-1035
(716) 300-8323
(716) 322-4499
Mailing address
25 VIA PINTO DR, WILLIAMSVILLE, NY 14221-2756
(716) 819-7561
(716) 322-4499
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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