Provider Demographics
NPI:1972071066
Name:CRUZ, JULIANA M (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:JULIANA
Middle Name:M
Last Name:CRUZ
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W MCDERMOTT DR STE B
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-2700
Mailing Address - Country:US
Mailing Address - Phone:972-359-0000
Mailing Address - Fax:972-359-1000
Practice Address - Street 1:600 W MCDERMOTT DR STE B
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-2700
Practice Address - Country:US
Practice Address - Phone:972-359-0000
Practice Address - Fax:972-359-1000
Is Sole Proprietor?:No
Enumeration Date:2018-11-06
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139259363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXAP139259OtherAPRN
F09181368OtherFAMILY NURSE PRACTITIONER