Provider Demographics
NPI:1851630974
Name:CRUZ SITNER, NANCY (ANP-BC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:CRUZ SITNER
Suffix:
Gender:F
Credentials:ANP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2705 KINGS HWY
Mailing Address - Street 2:#2B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1769
Mailing Address - Country:US
Mailing Address - Phone:917-848-7395
Mailing Address - Fax:
Practice Address - Street 1:2705 KINGS HWY
Practice Address - Street 2:#2B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1769
Practice Address - Country:US
Practice Address - Phone:917-848-7395
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-08
Last Update Date:2013-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306153363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health