Individual
MARTHA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
483 W. SEED FARM RD., SACATON, AZ 85147-0038
(602) 528-1200
(602) 528-1255
Mailing address
PO BOX 38, SACATON, AZ 85147-0001
(602) 528-1200
(602) 528-1255
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP5785
AZ
367A00000X
Advanced Practice Midwife
RN040483
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165292
—
AZ
Enumeration date
07/08/2006
Last updated
11/10/2015
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