Cynthia Ann Ruiz, MSN RN FNP-C CCRN
Nurse Practitioner, Family in La Grande, Or 97850, OR. Individual provider (NPI-1).
NPI number1265836639
StatusActive
Last updated in NPPESMar 22, 2024
Details
- NPI
- 1265836639
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cynthia Ann Ruiz
- Credential
- MSN RN FNP-C CCRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 14, 2014
- Certification date
- Mar 20, 2024
- Last updated
- Mar 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 53651 | NM | Yes |
| 363LF0000X | Nurse Practitioner, Family | 011774 | CT | |
| 363LF0000X | Nurse Practitioner, Family | AP126659 | TX | |
| 363L00000X | Nurse Practitioner | 4704384093 | MI |
Practice location
Grande Ronde Hospital900 Sunset Dr
La Grande, Or 97850, OR 97850
Phone 210-454-8042
Mailing address
323 Canyon FrstHelotes, TX 78023-2887
Phone 210-454-8042
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