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NPI Code Detail

MEDICARE: RENEE N CRUZ

MEDICARE:   RENEE N CRUZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist887908IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558136739
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENEE N CRUZ
Provider Business Mailing Address
First Line : 2117 CONNER AVE TRLR 7
Second Line :
City : BURLINGTON
State : IA
Zip : 52601-4470
Country : US
Telephone Number : 563-316-2934
Fax Number :
Provider Business Practice Location Address
First Line : 2117 CONNER AVE TRLR 7
Second Line :
City : BURLINGTON
State : IA
Zip : 52601-4470
Country : US
Telephone Number : 563-316-2934
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2023
Last Update Date : 01/28/2026

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Directions to “ RENEE N CRUZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.