MR. DARRELL LAMAR CRUCE LPN NPI 1114180379

NPI Information

NPI: 1114180379
Provider Name: MR. DARRELL LAMAR CRUCE, LPN
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
921 HUNTING HORN WAY W
EVANS, GA
ZIP 30809
Phone: (706) 787-9123
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MR. Darrell Lamar Cruce, LPN is a licensed practical nurse in Evans, GA. The provider is 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. MR. Darrell Lamar Cruce, LPN NPI is 1114180379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

921 HUNTING HORN WAY W
EVANS, GA
ZIP 30809-829
Phone: (706) 787-9123

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.

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
1	164W00000X	Licensed Practical Nurse		053835	NORTH CAROLINA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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