Provider Demographics
NPI:1164237343
Name:RUBY, COURTNEY CHRISTINE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:CHRISTINE
Last Name:RUBY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 S 59TH AVE # A105
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339-3071
Mailing Address - Country:US
Mailing Address - Phone:024-768-8886
Mailing Address - Fax:
Practice Address - Street 1:15218 S 47TH ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-6893
Practice Address - Country:US
Practice Address - Phone:925-584-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-12
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ320119363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily