Individual provider · Type 1 NPI

Edward Ruffalo Jr.

Psychiatric/Mental Health Nurse Practitioner · Glendale, CA

NPI number 1295652659 Active

Practice location

1509 Wilson Ter
Glendale, CA 91206-4007

Call (818) 409-8000 Map

Mailing address

27159 Baxard Pl
Valencia, CA 91354-2612

Specialties and licenses

Taxonomy	Code	License
Psychiatric/Mental Health Nurse Practitioner Primary	363LP0808X	95039298 (CA)

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

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About NPI 1295652659

Edward Ruffalo Jr.'s National Provider Identifier is 1295652659, issued on Jul 6, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Glendale, CA. The record was last updated on Jul 6, 2026.