Individual provider · Type 1 NPI
Nicolette Rose Cruz, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Stony Brook, NY
NPI number
1023900669
Active
Practice location
101 Nicolls Rd
Stony Brook, NY 11794-0001
Mailing address
27 Norwood Ln
Ronkonkoma, NY 11779-3317
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 407351 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1023900669
Nicolette Rose Cruz, PMHNP-BC's National Provider Identifier is 1023900669, issued on Jul 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Stony Brook, NY. The record was last updated on Jul 28, 2026.