Provider Demographics
NPI:1245920347
Name:CRUZ, VIOLETA N (RN)
Entity type:Individual
Prefix:MRS
First Name:VIOLETA
Middle Name:N
Last Name:CRUZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
Mailing Address - Street 2:3001 GREEN BAY ROAD
Mailing Address - City:NORTH CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60064
Mailing Address - Country:US
Mailing Address - Phone:224-610-8612
Mailing Address - Fax:
Practice Address - Street 1:JAMES A. LOVELL FEDERAL HEALTH CARE CENTER
Practice Address - Street 2:3001 GREEN BAY ROAD
Practice Address - City:NORTH CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60064
Practice Address - Country:US
Practice Address - Phone:224-610-8612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-11
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.262354163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care