Individual
LISA KAY DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19646 N 27TH AVE, SUITE 301, PHOENIX, AZ 85027-4017
(623) 580-5390
(623) 580-5397
Mailing address
19646 N 27TH AVE, SUITE 301, PHOENIX, AZ 85027-4017
(623) 580-5390
(623) 580-5397
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP5453
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
920058
—
AZ
Enumeration date
08/11/2013
Last updated
03/18/2015
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