Individual
MARY ROSE DIANA KUAN DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8905 W POST RD STE 110, LAS VEGAS, NV 89148-2429
(702) 927-6866
Mailing address
432 EASTGATE LN, MARTINEZ, CA 94553-4191
(702) 927-6866
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
891144
NV
363LP2300X
Primary Care Nurse Practitioner
891144
NV
Other
Enumeration date
07/31/2025
Last updated
04/30/2026
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