Provider Demographics
NPI:1780127803
Name:RUIZ RUELAS, MARIA MAGDALENA (FNP)
Entity type:Individual
Prefix:
First Name:MARIA MAGDALENA
Middle Name:
Last Name:RUIZ RUELAS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 W ALVIN DR APT D
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93906-8364
Mailing Address - Country:US
Mailing Address - Phone:831-578-4295
Mailing Address - Fax:
Practice Address - Street 1:106 W ALVIN DR APT D
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93906-8364
Practice Address - Country:US
Practice Address - Phone:831-578-4295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-21
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005450363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily