Individual
JOANNE PEGINA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(248) 325-1610
Mailing address
6777 W MAPLE RD, WEST BLOOMFIELD, MI 48322-3013
(586) 932-7911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704339537
MI
363LP2300X
Primary Care Nurse Practitioner
Primary
4704339537
MI
Other
Enumeration date
03/26/2024
Last updated
05/21/2024
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