Individual provider · Type 1 NPI

Kim Laurie Cruz

Licensed Practical Nurse · Staten Island, NY

NPI number 1700176385 Active

Practice location

26 Dumont Ave
Staten Island, NY 10305-1450

Fax (718) 667-4524

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X299676 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1700176385

Kim Laurie Cruz's National Provider Identifier is 1700176385, issued on Apr 15, 2011. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Staten Island, NY. The record was last updated on Apr 15, 2011.