Cruz, Marcy L.

Cruz, Marcy L. is an individual health care provider with primary practice located at 5155 E. Eagle Drive #20733 , Mesa AZ 85277-3031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cruz, Marcy L. can be contacted via phone (480) 706-9430.

Contact Information

Primary practice address
5155 E. Eagle Drive #20733 Mesa AZ 85277-3031
Phone: (480) 706-9430
Fax: (480) 378-2273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X RN071749 Arizona

Profile Details

NPI number 1689638264
LBN Legal business name Cruz, Marcy L.
Credentials RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jan 27th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689638264 NPPES
Arizona Other AW2076 HEALTHNET OF AZ
Arizona Other AZ0280730 HEALTHNET OF AZ
Arizona MEDICAID 878845 HEALTHNET OF AZ

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