Individual
RIA ANNE VIERNEZA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2772 NORTHERN LIGHTS WAY, NEW LENOX, IL 60451-7503
(708) 400-8063
(708) 400-8706
Mailing address
34193 N GOLDENROD RD, ROUND LAKE, IL 60073-5201
(847) 624-7433
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
041.392552
IL
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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