Individual
NICOLE ANN CRUZ DUMANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108-3586
(800) 316-6314
Mailing address
404 CAMINO DEL RIO S STE 102, SAN DIEGO, CA 92108-3586
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
881321
NV
363LA2200X
Adult Health Nurse Practitioner
881321
NV
363LF0000X
Family Nurse Practitioner
881321
NV
363LP2300X
Primary Care Nurse Practitioner
Primary
881321
NV
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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