Individual
MRS. NICOLE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 663-8800
Mailing address
32 MERRILL AVE, SALEM, NH 03079-2727
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
077099-21
NH
363LF0000X
Family Nurse Practitioner
Primary
1720851553
NH
Other
Enumeration date
11/02/2023
Last updated
02/22/2024
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