Individual provider · Type 1 NPI

Ian Lloyd Ruiz Baccay, RN

Nurse Practitioner · Fort Mohave, AZ

NPI number 1093496069 Active

Practice location

5263 S Highway 95 , Fort Mohave, Az 86426
Fort Mohave, AZ 86426-9223

Mailing address

4425 S Bernard Pl
Fort Mohave, AZ 86426-5388

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X100460 (GU)
Nurse Practitioner Primary 363L00000X295726 (AZ)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093496069

Ian Lloyd Ruiz Baccay, RN's National Provider Identifier is 1093496069, issued on Jul 31, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Mohave, AZ. The record was last updated on Jun 12, 2025.