Individual
CHRIS B. RUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, BC
Contact information
Practice address
1235 EIGHTH ST., LAS VEGAS, NM 87701-4219
(505) 425-6788
(505) 425-5408
Mailing address
PO BOX 158, 538 N. PASEO DE ONATE, ESPANOLA, NM 87532-0158
(505) 753-7218
(505) 753-5815
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP00581
NM
363LF0000X
Family Nurse Practitioner
R29549
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78608775
—
NM
01
—
NM400318
MEDICARE PTAN
NM
Enumeration date
01/31/2007
Last updated
07/01/2013
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