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Contact Information

MARY ROSE DIANA K DE LA CRUZ, APRN
8905 W POST RD STE 110
LAS VEGAS, NV89148-2429
 Phone: 702-927-6866
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY ROSE DIANA K DE LA CRUZ · (Female)

NPI Number 1619851953
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 07/31/2025
Last updated 04/30/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • NV License # 891144
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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