MEDICARE: ABIGAIL RUIZ VILCHES

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
1	363LP2300X	Primary Care Nurse Practitioner	264873	AZ

General Provider Information

NPI Number	:	1639026032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL RUIZ VILCHES

Provider Business Mailing Address
First Line	:	1635 W GARDENIA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7937
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1635 W GARDENIA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-7937
Country	:	US
Telephone Number	:	602-472-9973
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

Similar Medicare Providers

1447761887 — LGM DISTRIBUTION CORP.
Practice Location Address:

2512 E THOMAS RD STE 12
PHOENIX, AZ
85016-7937

Practice Phone: 480-532-2035
Practice Fax:

1023964004 — GIOVANNA ITZEL MENA SOTO
Practice Location Address:

2400 W DUNLAP AVE STE 124
PHOENIX, AZ
85021-2813

Practice Phone: 602-325-2485
Practice Fax:

1073406591 — ENHANCED WELLNESS CENTER LLC
Practice Location Address:

1526 W GLENDALE AVE STE 109
PHOENIX, AZ
85021-8576

Practice Phone: 714-262-3140
Practice Fax:

1275336273 — REMEDIUM DREAM CLINIC LLC
Practice Location Address:

7550 N 19TH AVE STE 101
PHOENIX, AZ
85021-7966

Practice Phone: 463-201-4929
Practice Fax:

1932053873 — DERRICK DEVON FARGO
Practice Location Address:

1801 W MOUNTAIN VIEW RD APT 7
PHOENIX, AZ
85021-0922

Practice Phone: 623-312-6491
Practice Fax:

1124757141 — KAITLIN ELIZABETH BUHRKE DO
Practice Location Address:

8825 N 23RD AVE STE 100
PHOENIX, AZ
85021-4148

Practice Phone: 310-560-0188
Practice Fax: 323-544-4248

Directions to “ ABIGAIL RUIZ VILCHES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.