Individual provider · Type 1 NPI
Crystal Anne Ruby, APRN
Acute Care Nurse Practitioner · Salt Lake City, UT
NPI number
1104522853
Active
Practice location
50 N Medical Dr
Salt Lake City, UT 84132-0001
Mailing address
518 N Hale St
Grantsville, UT 84029-9231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 10826853-4405 (UT) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104522853
Crystal Anne Ruby, APRN's National Provider Identifier is 1104522853, issued on Feb 3, 2023. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Salt Lake City, UT. The record was last updated on May 2, 2023.