Provider Demographics
NPI:1285807016
Name:DELA CRUZ, CATHERINE NON (RN,BSN)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:NON
Last Name:DELA CRUZ
Suffix:
Gender:F
Credentials:RN,BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 SOM CENTER RD APT 806
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2107
Mailing Address - Country:US
Mailing Address - Phone:440-605-0553
Mailing Address - Fax:
Practice Address - Street 1:1414 SOM CENTER RD APT 806
Practice Address - Street 2:
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2107
Practice Address - Country:US
Practice Address - Phone:440-605-0553
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-13
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN315365163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical