Brooke L Ruth, NP
Nurse Practitioner in Tucson, AZ. Individual provider (NPI-1).
NPI number1962007237
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1962007237
- Entity type
- Individual (NPI-1)
- Name
- Brooke L Ruth
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 250553 | AZ | Yes |
| 363L00000X | Nurse Practitioner | TEMP250553 | AZ |
Practice location
4601 E Broadway BlvdTucson, AZ 85711-3511
Phone 520-399-6000
Mailing address
4601 E Broadway BlvdTucson, AZ 85711-3511
Phone 520-399-6000
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