Individual
MS. FATIMA DE LA CRUZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7200
Mailing address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7200
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00206000
NJ
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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