Individual
KATIE LEE RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1 TECH PARK DR STE 1130, JOHNSTOWN, PA 15901-2517
(814) 475-8760
(814) 475-8765
Mailing address
1 TECH PARK DR STE 1130, JOHNSTOWN, PA 15901-2517
(814) 475-8760
(814) 475-8765
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP019123
PA
Other
Enumeration date
09/24/2018
Last updated
02/11/2020
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