Healthcare Provider Details

I. General information

NPI: 1700215506
Provider Name (Legal Business Name): VERONICA RUIZ RN, APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/02/2013
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3120 POST RD STE 1
STEVENS POINT WI
54481-6437
US

IV. Provider business mailing address

3120 POST RD STE 1 SUITE 1
STEVENS POINT WI
54481-6437
US

V. Phone/Fax

Practice location:
  • Phone: 715-352-0807
  • Fax:
Mailing address:
  • Phone: 715-352-0807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11926-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: