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NPI Code Detail

MEDICARE: ANA ROSA DE LA CRUZ NP

MEDICARE:   ANA ROSA DE LA CRUZ  NP
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 PractitionerNP95038011CA

General Provider Information

NPI Number : 1861197170
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA ROSA DE LA CRUZ NP
Provider Business Mailing Address
First Line : 26037 HOLLY VISTA BLVD
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-3516
Country : US
Telephone Number : 909-649-1078
Fax Number :
Provider Business Practice Location Address
First Line : 26037 HOLLY VISTA BLVD
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-3516
Country : US
Telephone Number : 909-649-1078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2023
Last Update Date : 03/25/2026

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Directions to “ ANA ROSA DE LA CRUZ NP” Practice Location

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