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Individual

ISAI CRUZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
209 BEASLEY ST, KENANSVILLE, NC 28349-8727
(540) 769-3964
(540) 473-3458
Mailing address
130 CHURCH AVE SW, ROANOKE, VA 24011-1906
(540) 769-3964

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5020757
NC
363LF0000X
Family Nurse Practitioner
Primary
5020757
NC

Other

Enumeration date
08/30/2024
Last updated
04/04/2025
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