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Individual

DANIELLE ALEXANDRA RUIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, APRN, AGNP-C

Contact information

Practice address
8065 LEESBURG PIKE STE 100, VIENNA, VA 22182-2746
(866) 383-7888
(571) 400-2353
Mailing address
8065 LEESBURG PIKE STE 100, VIENNA, VA 22182-2746
(866) 383-7888
(571) 400-2353

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001227829
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024179551
VA
363LG0600X
Gerontology Nurse Practitioner
0024179551
VA

Other

Enumeration date
11/12/2015
Last updated
02/09/2024
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