Individual
VICTORIA K CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
SAM GLENN COMPLEX #205, 500 8TH AVE, LEWISTON, ID 83501
(208) 792-2251
(208) 792-2882
Mailing address
PO BOX 8007, MOSCOW, ID 83843-0507
(208) 883-2224
(208) 883-6580
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
68636
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487222659
—
ID
05
—
1487222659
—
WA
Enumeration date
06/15/2021
Last updated
09/12/2025
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