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Contact Information

VICTORIA K CRUZ, NP-C
SAM GLENN COMPLEX #205
500 8TH AVE
LEWISTON, ID83501
 Phone: 208-792-2251
 Fax: 208-792-2882
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for VICTORIA K CRUZ · (Female)

NPI Number 1487222659
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 06/15/2021
Last updated 09/12/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • ID License # 68636
  • ID Medicaid 1487222659
  • WA Medicaid 1487222659
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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