Individual
YOSELY KATHY CRUZ-FERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP, PMHNP
Contact information
Practice address
1710 HARPER RD, BECKLEY, WV 25801-3397
(559) 260-7911
Mailing address
1157 DRY HILL RD, BECKLEY, WV 25801-2109
(559) 260-7911
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN88151
WV
363LA2100X
Acute Care Nurse Practitioner
4704232812
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN88151
WV
Other
Enumeration date
02/13/2012
Last updated
06/30/2022
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