Individual provider · Type 1 NPI

Lisa M. Delacruz, PNP

Nurse Practitioner · Charlotte, NC

NPI number 1063758142 Active

Practice location

14215 Ballantyne Corporate Pl, Suite 130
Charlotte, NC 28277-3670

Fax (704) 384-1955

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X20122290 (OH)
Nurse Practitioner Primary 363L00000X5006132 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1063758142

Lisa M. Delacruz, PNP's National Provider Identifier is 1063758142, issued on Dec 18, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Oct 28, 2020.