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Vanessa De La Cruz, FNP-BC

Nurse Practitioner in Miami, FL. Individual provider (NPI-1).

NPI number1316630197
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1316630197
Entity type
Individual (NPI-1)
Name
Vanessa De La Cruz
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
May 30, 2023
Certification date
May 30, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner11026217FLYes

Practice location

4045 Sw 108th Ct
Miami, FL 33165-4825

Phone 786-454-0220

Mailing address

4045 Sw 108th Ct
Miami, FL 33165-4825

Phone 786-454-0220

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