Individual
MARIA GUADALUPE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CNM
Contact information
Practice address
34 S 500 E STE 207, SALT LAKE CITY, UT 84102-1065
(801) 560-0930
(801) 531-0930
Mailing address
34 S 500 E STE 207, SALT LAKE CITY, UT 84102-1065
(801) 560-0930
(801) 531-0930
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200580-3102
UT
363L00000X
Nurse Practitioner
200580-4405
UT
367A00000X
Advanced Practice Midwife
Primary
200580-4402
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1538598065
NPI
UT
01
—
1770060980
NPI2
UT
Enumeration date
11/05/2013
Last updated
11/27/2018
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