Individual provider · Type 1 NPI
Ruth E. Mirza, NP
Family Nurse Practitioner · Grand Rapids, MI
NPI number
1992845747
Active
Practice location
200 Jefferson Ave SE, St. Mary's Preadmission Testing
Grand Rapids, MI 49503-4502
Fax (616) 752-6610
Mailing address
7841 Lionel Dr SW
Byron Center, MI 49315-8485
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 4704183561 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 4704183561 (MI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1992845747
Ruth E. Mirza, NP's National Provider Identifier is 1992845747, issued on Feb 8, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Sep 11, 2025.