Provider Demographics
NPI:1609414473
Name:SAYAS, RUTH GRACE GARCIA (AGACNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH GRACE
Middle Name:GARCIA
Last Name:SAYAS
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
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Mailing Address - Street 1:13430 E 13 MILE RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48088-3187
Mailing Address - Country:US
Mailing Address - Phone:586-427-1351
Mailing Address - Fax:586-486-5669
Practice Address - Street 1:27351 DEQUINDRE RD
Practice Address - Street 2:
Practice Address - City:MADISON HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48071-3487
Practice Address - Country:US
Practice Address - Phone:248-967-7807
Practice Address - Fax:248-967-7677
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-12
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704246819363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute CareGroup - Single Specialty