Individual
BONNIE MARIE HART-RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, CFNP
Contact information
Practice address
1318 BROADWAY, LUBBOCK, TX 79401-3206
(806) 765-2611
(806) 741-3015
Mailing address
1313 BROADWAY, SUITE 5, LUBBOCK, TX 79401-3277
(806) 765-2611
(806) 741-3015
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
465363
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169979501
—
TX
Enumeration date
05/30/2006
Last updated
04/26/2011
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