Individual
JOSE MIGUEL CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN-CNP
Contact information
Practice address
880 MARTIN LUTHER KING JR BLVD, CHAPEL HILL, NC 27514-2600
(919) 893-4465
Mailing address
2404 ENGLEWOOD AVE, DURHAM, NC 27705-4026
(513) 620-4188
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201142927RN
OR
163W00000X
Registered Nurse
387979
NC
363L00000X
Nurse Practitioner
APRN.CNP.023674
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3014800
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5024032
NC
Other
Enumeration date
11/18/2011
Last updated
04/03/2026
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