MEDICARE: TIFFANY CRUZ RN

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
1	163WH0200X	Home Health Registered Nurse	876931	NV

General Provider Information

NPI Number	:	1891658779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY CRUZ RN

Provider Business Mailing Address
First Line	:	8000 W KEY LARGO CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-4172
Country	:	US
Telephone Number	:	775-354-7220
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 W KEY LARGO CT
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89506-4172
Country	:	US
Telephone Number	:	775-354-7220
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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Directions to “ TIFFANY CRUZ RN” Practice Location

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