Provider Demographics
NPI:1073547196
Name:CRUZ, ELIZABETH WHITE (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:WHITE
Last Name:CRUZ
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Gender:F
Credentials:REGISTERED NURSE
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Mailing Address - Street 1:1650 COCHRANE CIRCLE
Mailing Address - Street 2:ATTN MS RANKIN
Mailing Address - City:FORT CARSON
Mailing Address - State:CO
Mailing Address - Zip Code:80913-4604
Mailing Address - Country:US
Mailing Address - Phone:719-526-7649
Mailing Address - Fax:719-526-7019
Practice Address - Street 1:USA MEDDAC EVANS ARMY COMMUNITY HOSPITAL
Practice Address - Street 2:PACU SDS
Practice Address - City:FORT CARSON
Practice Address - State:CO
Practice Address - Zip Code:80913-4604
Practice Address - Country:US
Practice Address - Phone:719-526-7015
Practice Address - Fax:719-526-7007
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CO126669163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse