Individual provider · Type 1 NPI

Liberty Angel Ruiz, AGPCNP

Gerontology Nurse Practitioner · Pueblo, CO

NPI number 1700445467 Active

Practice location

300 Colorado Ave
Pueblo, CO 81004-2006

Mailing address

2423 Snow Cap Ct
Colorado Springs, CO 80915-1982

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAPN.0994697-NP (CO)
Gerontology Nurse Practitioner Primary 363LG0600XAPN.0994697-NP (CO)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1700445467

Liberty Angel Ruiz, AGPCNP's National Provider Identifier is 1700445467, issued on Jun 6, 2019. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Pueblo, CO. The record was last updated on Jun 6, 2019.