Healthcare Provider Details

I. General information

NPI: 1811866585
Provider Name (Legal Business Name): SAVANNAH D'CRUZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2545 S BRUCE ST STE 200
LAS VEGAS NV
89169-1778
US

IV. Provider business mailing address

2545 S BRUCE ST STE 200
LAS VEGAS NV
89169-1778
US

V. Phone/Fax

Practice location:
  • Phone: 702-732-2438
  • Fax: 702-737-5043
Mailing address:
  • Phone: 702-732-2438
  • Fax: 702-737-5043

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number841518
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: