Individual
LIBERTY ANGEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
Mailing address
2423 SNOW CAP CT, COLORADO SPRINGS, CO 80915-1982
(719) 359-3913
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
APN.0994697-NP
CO
363LP2300X
Primary Care Nurse Practitioner
APN.0994697-NP
CO
Other
Enumeration date
06/06/2019
Last updated
06/06/2019
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