Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | AZ3116 | AZ |
N | 103T00000X | Psychologist | AZ3116 | AZ |
N | 103TC1900X | Counseling Psychologist | AZ3116 | AZ |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP3945 | AZ |
NPI | 1114924362 |
---|---|
Provider Name | Dr. Ester L Ruiz |
First Address | Chandler, AZ 85224-5286 |
Second Address | Chandler, AZ 85224-5286 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2005 |
Last Update Date | 19/03/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
228738 | (05) | AZ |