Provider Demographics
NPI:1417530791
Name:CRUZ, ARJANE SANCHEZ (NP)
Entity Type:Individual
Prefix:
First Name:ARJANE
Middle Name:SANCHEZ
Last Name:CRUZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ARJANE
Other - Middle Name:CRUZ
Other - Last Name:SAN AGUSTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3660 PARK SIERRA DR STE 203
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-3071
Mailing Address - Country:US
Mailing Address - Phone:951-687-3400
Mailing Address - Fax:951-687-7630
Practice Address - Street 1:22555 ALESSANDRO BLVD STE B
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92553-8533
Practice Address - Country:US
Practice Address - Phone:951-656-7081
Practice Address - Fax:951-656-1710
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF04210633363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily