Individual
LIA DONNA VELASQUEZ DELA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
6070 S FORT APACHE RD STE 100, LAS VEGAS, NV 89148-5615
(702) 810-8375
Mailing address
BOX 91 2978 JOHN F KENNEDY BLVD, JERSEY CITY, NJ 07306-3820
(702) 275-8947
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
680264
NY
363L00000X
Nurse Practitioner
95034185
CA
363LF0000X
Family Nurse Practitioner
Primary
887977
NV
Other
Enumeration date
02/05/2014
Last updated
03/28/2025
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