Provider Demographics
NPI:1568153534
Name:DE LA CRUZ, ERLINI ESPINA (NP)
Entity Type:Individual
Prefix:
First Name:ERLINI
Middle Name:ESPINA
Last Name:DE LA CRUZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2030 CITRON CT
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-1634
Mailing Address - Country:US
Mailing Address - Phone:909-223-0202
Mailing Address - Fax:
Practice Address - Street 1:2030 CITRON CT
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-1634
Practice Address - Country:US
Practice Address - Phone:909-223-0202
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-18
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95022004363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily