Individual provider · Type 1 NPI

Grace Mary Ruettinger, PA

Psychiatric/Mental Health Nurse Practitioner · Goodyear, AZ

NPI number 1053796383 Active

Practice location

13471 W Cornerstone Blvd
Goodyear, AZ 85395-2713

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085006106 (IL)
Physician Assistant 363A00000X9262 (AZ)
Physician Assistant 363A00000X52683 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X9262 (AZ)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1053796383

Grace Mary Ruettinger, PA's National Provider Identifier is 1053796383, issued on Jul 28, 2015. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Goodyear, AZ. The record was last updated on May 12, 2026.