Most Relevant Information
Provider Data
| NPI Number: | 1003516188 |
| Provider Name: | SHANNON M CRUZ APRN-FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 072754-23 |
Most Important Dates
| Enumeration Date: | 03/07/2023 |
| Last Updated: | 03/07/2023 |
Provider Practice Location
7 CINEMAGIC WAY
HOOKSETT
NH
031061088
Practice Location Phone/Fax
| Phone: | 6037825112 |
| Fax: | 6039322983 |
Provider Mailing Location
10 FERRY ST STE 302
CONCORD
NH
033015081
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |