KIM LAURIE CRUZ
NPI 1700176385
Licensed Practical Nurse in Staten Island, NY

Q: What is Kim Cruz's NPI number?

The NPI number for Kim Cruz is 1700176385. It was assigned to this individual provider in the NPPES registry on April 15, 2011.

Q: What is Kim Cruz's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Kim Cruz was last updated on April 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 15, 2011

26 DUMONT AVE, STATEN ISLAND, NY 10305(718) 667-8510(718) 667-4524 Get Directions Write a Review

NPPES record last updated: April 15, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kim Laurie Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIM LAURIE CRUZ (NPI 1700176385) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (299676) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1700176385

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameKIM LAURIE CRUZ

Location Address26 DUMONT AVEStaten Island, NY 10305-1450

Mailing Address26 Dumont AveStaten Island, NY 10305-1450 · (718) 667-8510 · Fax (718) 667-4524

Phone(718) 667-8510

Fax(718) 667-4524

Sole ProprietorNo

Enumeration DateApril 15, 2011

✔ NPI 1700176385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in NY · 299676

Definition

A licensed practical nurse 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 responsibilities vary among the states.

26 DUMONT AVE, Staten Island, NY 10305

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Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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