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JEANETTE MARIA RUIZ FNP-C
Ambulatory Care >> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1306363791
Individual Registrant: JEANETTE MARIA RUIZ FNP-C
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
6201 WHITTIER BLVD EAST LOS ANGELES, CA 90022-4661 US
Tel: 833-413-9745 Fax: --
Tel: 833-413-9745 Fax: --
Contact information for business:
6201 WHITTIER BLVD EAST LOS ANGELES, CA 90022-4661 US
Tel: 833-413-9745 Fax: --
Tel: 833-413-9745 Fax: --
Registration Information:
NPI: 1306363791
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 163WP2201X | Nursing Service Providers Registered Nurse Ambulatory Care | CA | 793803 |
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | NY | F343540-1 |
| Y | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | CA | 95009357 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
