Individual
MRS. GLORYMARDY CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
511 PIERCE ST, KINGSTON, PA 18704-5731
(570) 714-3333
Mailing address
PO BOX 1885, KINGSTON, PA 18704-0885
(570) 288-8881
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP024256
PA
Other
Enumeration date
12/08/2021
Last updated
05/08/2026
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