Provider Demographics
NPI:1487252987
Name:CRUZ, VALERIE LORRAINE (FNP)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LORRAINE
Last Name:CRUZ
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:LORRAINE
Other - Last Name:RIVERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2310 N ED CAREY DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8200
Mailing Address - Country:US
Mailing Address - Phone:956-428-5522
Mailing Address - Fax:
Practice Address - Street 1:2310 N ED CAREY DR STE 1A
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8200
Practice Address - Country:US
Practice Address - Phone:956-428-5522
Practice Address - Fax:956-412-5109
Is Sole Proprietor?:No
Enumeration Date:2020-10-15
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1012034363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily