RODERICK BRIAN DELA CRUZ NPI 1033730346

NPI Information

NPI: 1033730346
Provider Name: RODERICK BRIAN DELA CRUZ
Classification: Registered Nurse - 163WM0705X
Entity Type: Individual

Specialization: Medical-Surgical

Address:
9428 69TH ST
KENOSHA, WI
ZIP 53142
Phone: (262) 344-3892
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Roderick Brian Dela Cruz is a medical-surgical registered nurse in Kenosha, WI. Roderick Brian Dela Cruz NPI is 1033730346. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9428 69TH ST
KENOSHA, WI
ZIP 53142-111
Phone: (262) 344-3892

The enumeration date for this NPI number is 4/28/2020 and was last updated on 4/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WM0705X	Registered Nurse	Medical-Surgical	239454	WISCONSIN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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