Individual
SHANDA PHILLIPS CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3017 W CHARLESTON BLVD STE 60, LAS VEGAS, NV 89102-1927
(702) 778-5100
(702) 778-5101
Mailing address
3017 W CHARLESTON BLVD STE 60, LAS VEGAS, NV 89102-1927
(702) 778-5100
(702) 778-5101
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN002931
NV
Other
Enumeration date
05/05/2018
Last updated
05/05/2018
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