Individual
MS. JACINTA FAYO CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5536 S FORT APACHE RD STE 102, LAS VEGAS, NV 89148-7687
(702) 915-7001
(702) 909-9254
Mailing address
11035 LAVENDER HILL DR STE 160-441, LAS VEGAS, NV 89135-2955
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
APRN001459
NV
363LF0000X
Family Nurse Practitioner
TAPN700839
NV
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN001459
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588908628
—
NV
Enumeration date
11/15/2012
Last updated
07/10/2020
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