Provider Demographics
NPI:1982253795
Name:RUEB, ANNA THERESA (RN)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:THERESA
Last Name:RUEB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5409 W STRAIGHT ARROW LN
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85083-9308
Mailing Address - Country:US
Mailing Address - Phone:602-550-0639
Mailing Address - Fax:
Practice Address - Street 1:5409 W STRAIGHT ARROW LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85083-9308
Practice Address - Country:US
Practice Address - Phone:602-550-0639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator