Violet Holly De La Cruz, FNP-BC
Nurse Practitioner, Primary Care in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1700518552
StatusActive
Last updated in NPPESJul 15, 2022
Details
- NPI
- 1700518552
- Entity type
- Individual (NPI-1)
- Name
- Violet Holly De La Cruz
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2022
- Certification date
- Jul 15, 2022
- Last updated
- Jul 15, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 2022028299 | MO | Yes |
Other names
- Violet Holly De La Cruz (Professional Name)
Practice location
1723 Broadway St Ste 315Cape Girardeau, MO 63701-4556
Phone 573-519-4960
Mailing address
1701 Lacey StCape Girardeau, MO 63701-5230
Phone 573-334-4822
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Primary Care Nurse Practitioner providers in Cape Girardeau, MO
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.