Individual provider · NPI-1

Charienez Santos Cruz, FNP-BC

Nurse Practitioner, Family · Gardena, CA

NPI number1457052631
StatusActive
Last updated in NPPESMar 14, 2023

Details

NPI
1457052631
Entity type
Individual (NPI-1)
Name
Charienez Santos Cruz
Credential
FNP-BC
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 14, 2023
Certification date
Mar 14, 2023
Last updated
Mar 14, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family95021842CAYes

Practice location

1145 W Redondo Beach Blvd
Gardena, CA 90247-3511

Phone 310-532-4200

Mailing address

11645 209th St Apt 7
Lakewood, CA 90715-1379

Phone 562-881-9324

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