Provider Demographics
NPI:1851268759
Name:CRUZ, VICTORIA (CLC, CD/PCD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:CRUZ
Suffix:
Gender:F
Credentials:CLC, CD/PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:172 POND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:PA
Mailing Address - Zip Code:19526-8379
Mailing Address - Country:US
Mailing Address - Phone:610-451-1173
Mailing Address - Fax:
Practice Address - Street 1:172 POND VIEW DR
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:PA
Practice Address - Zip Code:19526-8379
Practice Address - Country:US
Practice Address - Phone:610-451-1173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-23
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty