Healthcare Provider Details

I. General information

NPI: 1235040692
Provider Name (Legal Business Name): EDUANY CRUZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: EDUANY CRUZ ALVAREZ APRN

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 PASEO VERDE PKWY STE 190
HENDERSON NV
89052-2703
US

IV. Provider business mailing address

9523 CABOT FALLS AVE
LAS VEGAS NV
89149-3724
US

V. Phone/Fax

Practice location:
  • Phone: 561-531-7370
  • Fax:
Mailing address:
  • Phone: 561-531-7370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number815482
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: