STACY PAULA CRUZ (NPI# 1053886887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053886887 |
| Entity Type | Individual |
| Full Name | STACY PAULA CRUZ |
| Credential | FNP-C |
| Practice Address |
949 N 9th St Milwaukee WI 53233-1422 |
| Mailing Address |
5207 S Lake Dr Cudahy WI 53110-2013 |
| Practice Telephone | 4142267070 |
| Mailing Telephone | 4144692559 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
8702-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5207 S Lake Dr, Cudahy, WI 531102013 | 4144692559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063994077 | Stacy Lynn Cruz | Licensed Vocational Nurse | 2303 Walnut Ave, Odessa, TX 79761-1431 | 2018-09-06 |
| Street Address |
949 N 9TH ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-1422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1285234526 | Susan Lietz | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-10-27 |
| 1598382004 | George Vanags | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-06-30 |
| 1336775170 | Barbara Rebekah Demares | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2020-03-12 |
| 1487163184 | Charles Dombeck | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2017-09-25 |
| 1659824266 | Kimberly Anne Krawczyk | Psychologist | 949 N 9th St, Milwaukee, WI 53233-1422 | 2016-07-31 |
| 1689929770 | Josie Lynn Veal | Nurse Practitioner | 949 N 9th St, Milwaukee, WI 53233-1422 | 2012-07-16 |
| 1790940963 | Michael Crispin Grebner | Family Medicine | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2008-07-27 |
| 1861615874 | Wisconsin Community Services, Inc. Drug Evaluation Laboratory | Clinical Medical Laboratory | 949 N 9th St, Room 131e, Milwaukee, WI 53233-1422 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| 1760003909 | Mary Esson | Nurse Practitioner | 100 N 75th St, Milwaukee, WI 53213-3516 | 2020-04-28 |
| 1487297271 | Mackenna Leslie Hill | Nurse Practitioner | 11002 W Park Pl, Milwaukee, WI 53224-3615 | 2019-10-24 |
| 1093276040 | Danielle L Laczniak | Nurse Practitioner | 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 | 2019-03-30 |
| 1871066506 | Lisa Ann Parker | Nurse Practitioner | 3237 S 16th St # 208, Milwaukee, WI 53215-4526 | 2019-01-04 |
| 1467922948 | Gretchen Louise Grencer-liegel | Nurse Practitioner | 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958 | 2018-11-28 |
| 1871074385 | Mary Teresa Falk | Nurse Practitioner | 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 | 2018-08-23 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.