Doctor Name: | MRS. POLLY ANN RUEHL |
NPI Number: | 1922270685 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, ACNP-C, RNP |
License Number: | AP2761 |
Business Practice Address: | 5301 E Grant Rd Tucson, AZ - 857122805 |
Business Phone Number: | 5203275461 |
Business Fax Number: | |
Mailing Address: | Po Box 30172, TUCSON |
State: | AZ |
Postal Code: | 857510172 |
Phone Number: | 5207607740 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | AP2761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |