Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0024179667 | VA |
NPI | 1033676150 |
---|---|
Provider Name | Mrs. Ruth Christine Arriaza |
First Address | Fredericksburg, VA 22407-6484 |
Second Address | Fredericksburg, VA 22407-6484 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/02/2019 |
Last Update Date | 21/01/2021 |