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NPI Code Detail

MEDICARE: MS. CRISTINA RUZILA FNP

MEDICARE: MS. CRISTINA RUZILA FNP
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
1363LF0000XFamily Nurse Practitioner0001198243VA

General Provider Information

NPI Number : 1568727550
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CRISTINA RUZILA FNP
Provider Business Mailing Address
First Line : PO BOX 1595
Second Line :
City : MIDDLETOWN
State : CT
Zip : 06457-8095
Country : US
Telephone Number : 860-788-6404
Fax Number :
Provider Business Practice Location Address
First Line : 4701 COX RD STE 285
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-6808
Country : US
Telephone Number : 703-834-1473
Fax Number : 703-318-7463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2012
Last Update Date : 04/11/2024

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