Individual
BROOKE L RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
Mailing address
4601 E BROADWAY BLVD, TUCSON, AZ 85711-3511
(520) 399-6000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250553
AZ
363L00000X
Nurse Practitioner
TEMP250553
AZ
Other
Enumeration date
12/03/2020
Last updated
01/14/2021
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