Provider Demographics
NPI:1659601219
Name:CRUZ, CONSTANCE M (CNS)
Entity Type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:M
Last Name:CRUZ
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:CONSTANCE
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 W CENTRAL ST STE 102
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3716
Mailing Address - Country:US
Mailing Address - Phone:774-507-0925
Mailing Address - Fax:
Practice Address - Street 1:209 W CENTRAL ST STE 102
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3716
Practice Address - Country:US
Practice Address - Phone:777-507-0925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2023-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN177996163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult