Ruiz, Vida Mia
Ruiz, Vida Mia is an individual health care provider with primary practice located at 63 Main St 3Rd Floor, Brockton MA 02301-4042. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ruiz, Vida Mia can be contacted via phone (508) 559-6699.Contact Information
Primary practice address
63 Main St 3Rd Floor
Brockton MA 02301-4042
Phone: (508) 559-6699
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 2268111 | Massachusetts |
Profile Details
| NPI number | 1154645992 |
|---|---|
| LBN Legal business name | Ruiz, Vida Mia |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2010 |
| Last updated | Dec 27th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1154645992 | NPPES |
| Massachusetts | Other | RN2268111 | NURSE MIDWIFERY LICENSE |
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