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Wilson Tadeu Cruz
Psychiatric/Mental Health Nurse Practitioner in Fort Pierce, Florida
NPI 1619683778

Wilson Tadeu Cruz is a Psychiatric/Mental Health Nurse Practitioner based in Fort Pierce, FL and is specialized in Psychiatric/Mental Health. Wilson Tadeu Cruz practices in Fort Pierce, FL. The NPI Number for Wilson Tadeu Cruz is 1619683778 and holds a License No. APRN11023000 (Florida).

The current practice location address for Wilson Tadeu Cruz is 1501 S 27Th St, Fort Pierce, FL and can be reached out via phone at 772-342-5485.

Location: 1501 S 27Th St, Fort Pierce, FL, 34947-5701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619683778
Provider Name
Wilson Tadeu Cruz
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 S 27Th St, Fort Pierce, FL, 34947-5701
Phone Number
772-342-5485
Fax Number
Provider Enumeration Date
01/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 S 27Th St
City
Fort Pierce
State
Florida
Zip
34947-5701
Phone Number
772-342-5485
Fax Number
person
Provider Business Mailing Address Details
Address
1501 S 27Th St
City
Fort Pierce
State
Florida
Zip
34947-5701
Phone Number
772-342-5485
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
APRN11023000 (Florida)
Definition
Definition to come...
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