Cruise, Phn, Carol Ann
Cruise, Phn, Carol Ann is an sole proprietor health care provider with primary practice located at 1175 Bel Arbres Dr , Redwood Valley CA 95470-9695. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Cruise, Phn, Carol Ann can be contacted via phone (707) 485-0129.Contact Information
Primary practice address
1175 Bel Arbres Dr
Redwood Valley CA 95470-9695
Phone: (707) 485-0129
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Community Health | 163WC1500X | RN 139146 | California |
Profile Details
| NPI number | 1992924971 |
|---|---|
| LBN Legal business name | Cruise, Phn, Carol Ann |
| Credentials | RN, PHN, BSN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 2007 |
| Last updated | Feb 4th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992924971 | NPPES |
| California | MEDICAID | CGP161897 |
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