Individual
GRACE MARY RUETTINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
(480) 964-2273
Mailing address
13471 W CORNERSTONE BLVD, GOODYEAR, AZ 85395-2713
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085006106
IL
363A00000X
Physician Assistant
52683
CA
363A00000X
Physician Assistant
9262
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9262
AZ
Other
Enumeration date
07/28/2015
Last updated
05/12/2026
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