Provider Demographics
NPI:1649793456
Name:ALAS-RUIZ, SAVANAH MARIE (NP)
Entity type:Individual
Prefix:MRS
First Name:SAVANAH
Middle Name:MARIE
Last Name:ALAS-RUIZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 WINTHROP ST
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-4428
Mailing Address - Country:US
Mailing Address - Phone:508-880-0070
Mailing Address - Fax:508-880-2989
Practice Address - Street 1:233 WINTHROP ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-4428
Practice Address - Country:US
Practice Address - Phone:508-880-0070
Practice Address - Fax:508-880-2989
Is Sole Proprietor?:No
Enumeration Date:2017-07-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2283700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner