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Lia Donna Velasquez Dela Cruz

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

6070 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5615

PECOS Enrollment

This provider is enrolled in PECOS as LIA DONNA DELA CRUZ.

Based on the most recent information from CMS, provider Lia Donna Velasquez Dela Cruz is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1669896080
Provider Type
Individual
Full Name
Dela Cruz, Lia Donna Velasquez
Credential
FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
2/5/2014
Last Updated
3/28/2025

Contact Information

Practice Location

6070 S Fort Apache Rd Ste 100, Las Vegas, NV 89148-5615

(702) 810-8375

Unlisted Fax

Mailing Location

Box 91 2978 John F Kennedy Blvd, Jersey City, NJ 07306-3820

(702) 275-8947

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 887977 Nevada
Code 163W00000X	Description Registered Nurse Nursing Service Providers	License 680264 New York
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 95034185 California

Lia Donna Velasquez Dela Cruz

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

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Code

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License

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