Healthcare Provider Details

I. General information

NPI: 1427034479
Provider Name (Legal Business Name): ARACELIS M VONRUEDEN N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 10/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

523 N TUCSON BLVD
TUCSON AZ
85716-4411
US

IV. Provider business mailing address

523 N TUCSON BLVD
TUCSON AZ
85716-4411
US

V. Phone/Fax

Practice location:
  • Phone: 520-323-5577
  • Fax: 520-323-5547
Mailing address:
  • Phone: 520-323-5577
  • Fax: 520-323-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberRN052028
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberRN052028
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN052028
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: