Individual
AMY LARAE CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3838 S 700 E STE 100, SALT LAKE CITY, UT 84106
(801) 269-0231
(801) 269-0304
Mailing address
1121 E 3900 S, STE C230, SALT LAKE CITY, UT 84124-1297
(801) 682-1032
(801) 991-4907
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3409934405
UT
363LF0000X
Family Nurse Practitioner
3409938900
UT
Other
Enumeration date
06/02/2008
Last updated
10/03/2018
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