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NPI Code Detail

MEDICARE: MR. LEE NEIL DE LA CRUZ APRN, FNP-BC

MEDICARE: MR. LEE NEIL DE LA CRUZ APRN, FNP-BC
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
1363LF0000XFamily Nurse Practitioner888083NV

General Provider Information

NPI Number : 1972303287
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LEE NEIL DE LA CRUZ APRN, FNP-BC
Provider Business Mailing Address
First Line : 298 CAPE SEVILLE PL
Second Line :
City : HENDERSON
State : NV
Zip : 89015-5453
Country : US
Telephone Number : 702-708-0535
Fax Number :
Provider Business Practice Location Address
First Line : 1500 E TROPICANA AVE STE 118
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-6516
Country : US
Telephone Number : 775-682-0020
Fax Number : 702-995-6509
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2025
Last Update Date : 05/12/2026

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