Provider Demographics
NPI:1033676150
Name:ARRIAZA, RUTH CHRISTINE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:CHRISTINE
Last Name:ARRIAZA
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:MISS
Other - First Name:RUTH
Other - Middle Name:CHRISTINE
Other - Last Name:PENNY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:2632 SALEM CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-6484
Mailing Address - Country:US
Mailing Address - Phone:540-899-3440
Mailing Address - Fax:
Practice Address - Street 1:2632 SALEM CHURCH RD
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-6484
Practice Address - Country:US
Practice Address - Phone:540-899-3440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024179667363LP0200X
VAPENDING363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatricsGroup - Single Specialty