Taisha Cruz, FNP
Nurse Practitioner, Family in New York, NY. Individual provider (NPI-1).
NPI number1013539733
StatusActive
Last updated in NPPESMay 15, 2020
Details
- NPI
- 1013539733
- Entity type
- Individual (NPI-1)
- Name
- Taisha Cruz
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2020
- Certification date
- May 15, 2020
- Last updated
- May 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F3442561 | NY | Yes |
Practice location
521 W 181st StNew York, NY 10033-5102
Phone 347-756-6000
Mailing address
411 Revere AveBronx, NY 10465-2923
Phone 917-864-1114
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