MRS. GLORYMARDY CRUZ FNP-BC NPI 1124786041

NPI Information

  • NPI: 1124786041
  • Provider Name: MRS. GLORYMARDY CRUZ, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 511 PIERCE ST
    KINGSTON, PA
    ZIP 18704
  • Phone: (570) 714-3333

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NPI Details

MRS. Glorymardy Cruz, FNP-BC is a family nurse practitioner in Kingston, PA. MRS. Glorymardy Cruz, FNP-BC NPI is 1124786041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

511 PIERCE ST
KINGSTON, PA
ZIP 18704-731
Phone: (570) 714-3333

The NPI 1124786041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/8/2021 and was last updated on 3/25/2024.

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
1363LF0000XNurse PractitionerFamilySP024256PENNSYLVANIAYes

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: 3/30/2025

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