Provider Demographics
NPI:1487755427
Name:CRUZ, ALICIA NAUER (RN, NP)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:NAUER
Last Name:CRUZ
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9118 RIDGE BREEZE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-5031
Mailing Address - Country:US
Mailing Address - Phone:210-647-4274
Mailing Address - Fax:210-647-0311
Practice Address - Street 1:104 BABCOCK RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3806
Practice Address - Country:US
Practice Address - Phone:210-736-2244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX506832363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health