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NPI Code Detail

MEDICARE: MRS. ELIZABETH RUIZ

MEDICARE: MRS. ELIZABETH RUIZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP2300XPrimary Care Nurse Practitioner363L00000XAZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1F1113013OTHERAZAANP CERTIFICATION NUMBER

General Provider Information

NPI Number : 1477983229
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH RUIZ
Provider Business Mailing Address
First Line : 2415 E CAMELBACK RD STE 700
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4245
Country : US
Telephone Number : 855-828-7226
Fax Number : 562-285-9494
Provider Business Practice Location Address
First Line : 2415 E CAMELBACK RD STE 700
Second Line :
City : PHOENIX
State : AZ
Zip : 85016-4245
Country : US
Telephone Number : 855-828-7226
Fax Number : 562-285-9494
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2013
Last Update Date : 09/15/2023

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Directions to “ MRS. ELIZABETH RUIZ ” Practice Location

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