Individual
MICHELLE JAVELLANA DE LA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
4343 N JOSEY LN, CARROLLTON, TX 75010-4603
(469) 835-6436
Mailing address
632 LAKE CITY DR, LEWISVILLE, TX 75056-4164
(469) 835-6436
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
708814
TX
Other
Enumeration date
06/07/2013
Last updated
04/27/2023
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