Individual
KEVIN CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
240 N JAMES ST STE 200, NEWPORT, DE 19804-3171
(302) 312-4909
Mailing address
240 N JAMES ST STE 200, NEWPORT, DE 19804-3171
(302) 312-4909
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
L1-0055266
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
L8-0010667
DE
Other
Enumeration date
06/01/2024
Last updated
07/18/2024
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