Provider Demographics
NPI:1902552565
Name:ARANDIA, RUEL DELACRUZ (FNP)
Entity Type:Individual
Prefix:MR
First Name:RUEL
Middle Name:DELACRUZ
Last Name:ARANDIA
Suffix:
Gender:M
Credentials:FNP
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3568 EL REDONDO DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-9517
Mailing Address - Country:US
Mailing Address - Phone:209-725-3244
Mailing Address - Fax:209-725-3244
Practice Address - Street 1:3389 G ST STE B
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95340-0982
Practice Address - Country:US
Practice Address - Phone:209-384-9400
Practice Address - Fax:209-384-9400
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95019285363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily