Provider Demographics
NPI:1831473800
Name:CRUZ, ARMANDO LEE (FNP-C)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:LEE
Last Name:CRUZ
Suffix:
Gender:M
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2321 PYRAMID WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-8716
Mailing Address - Country:US
Mailing Address - Phone:775-900-3913
Mailing Address - Fax:775-391-3239
Practice Address - Street 1:2321 PYRAMID WAY
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-8716
Practice Address - Country:US
Practice Address - Phone:775-900-3913
Practice Address - Fax:775-391-3239
Is Sole Proprietor?:No
Enumeration Date:2011-10-07
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV818951363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1831473800OtherMEDICARE
1609523570OtherGROUP NPI