Individual
SUMMER CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5590 KIETZKE LN, RENO, NV 89511-3019
(775) 323-2080
Mailing address
2770 SUNLINE DR, RENO, NV 89523-2109
(775) 762-4777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
853336
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
853336
STATE APRN LICENSE
NV
Enumeration date
08/03/2022
Last updated
08/03/2022
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