Darrell Lamar Cruce in Evans - Licensed Practical Nurse
Darrell Lamar Cruce - NPI 1114180379
Darrell Lamar Cruce is a Licensed Practical Nurse in Evans, Georgia. Darrell Lamar Cruce practices all healthcare services and medical treatments related to Licensed Practical Nurse. The NPI Number for Darrell Lamar Cruce is 1114180379. The last update date is 2008-07-08.
Darrell Lamar Cruce's current location address is 921 Hunting Horn Way W, Evans, Georgia. You can contact this provider via phone number 7067879123. The mailing address for Darrell Lamar Cruce is 921 Hunting Horn Way W, Evans, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Darrell Lamar Cruce |
|---|---|
| Address | 921 Hunting Horn Way W, Evans, Georgia |
| Phone Number | 7067879123 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LPN |
NPI Number Detail
| NPI Number | 1114180379 |
|---|---|
| Provider Enumeration Date | 2008-07-08 |
| Last Updated Date | 2008-07-08 |
Provider Mailing Address Detail
| Address | 921 Hunting Horn Way W |
|---|---|
| City | Evans |
| State | Georgia (GA) |
| Post Code | 308094829 |
| Phone Number | 7067879123 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Licensed Practical Nurse |
|---|---|
| Taxonomy | 164W00000X |
| Licence No | 53835 |
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Definition: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job r |
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Post Comment/ Review Below
What is the unique identification code assigned to Darrell Lamar Cruce by the Centers for Medicare & Medicaid Services?
The Darrell Lamar Cruce has been issued the NPI (National Provider Identifier) 1114180379. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Darrell Lamar Cruce?
The Darrell Lamar Cruce is situated at 921 Hunting Horn Way W, in the city of Evans, state of GA, with the zip code 308094829.
What is the Darrell Lamar Cruce's specialty and taxonomy code?
The Darrell Lamar Cruce's specialty is Licensed Practical Nurse, and the corresponding taxonomy code is 164W00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1114180379 to Darrell Lamar Cruce?
The Darrell Lamar Cruce received its 1114180379 assignment from the Centers for Medicare & Medicaid Services on 2008-07-08.
When was the information regarding Darrell Lamar Cruce, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Darrell Lamar Cruce, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-08.