Provider Demographics
NPI:1750585659
Name:RUIZ, PATRICIA JANE (APRN, BC)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:JANE
Last Name:RUIZ
Suffix:
Gender:F
Credentials:APRN, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BROMLEIGH WAY
Mailing Address - Street 2:
Mailing Address - City:MORRIS PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07950-1642
Mailing Address - Country:US
Mailing Address - Phone:973-971-5715
Mailing Address - Fax:973-290-7417
Practice Address - Street 1:100 MADISON AVE
Practice Address - Street 2:BOX 24
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6136
Practice Address - Country:US
Practice Address - Phone:973-971-5700
Practice Address - Fax:973-290-7417
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN07442300363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics