Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 826114 | NV |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 826114 | NV |
NPI | 1386289718 |
---|---|
Provider Name | Naomi Satina Cruz-Moreno |
First Address | Henderson, NV 89014-6667 |
Second Address | Henderson, NV 89014-6667 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/11/2019 |
Last Update Date | 08/11/2019 |