Individual
IVONNE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2199 OLD BRIDGE RD, LAKE RIDGE, VA 22192-2911
(703) 357-9707
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177119
VA
Other
Enumeration date
01/09/2019
Last updated
03/24/2021
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