Individual provider · Type 1 NPI

Hilario Cruzada Noveno Jr., PhD, NP-C

Nurse Practitioner · San Diego, CA

NPI number 1124486865 Active

Practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Fax (888) 539-8781

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95010779 (CA)

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 1124486865

Hilario Cruzada Noveno Jr., PhD, NP-C's National Provider Identifier is 1124486865, issued on Feb 9, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Diego, CA. The record was last updated on Dec 9, 2021.