IndividualActive
Jon Ruiz, LPN
NPI 1457981797 · Licensed Practical Nurse · Provo, UT
Provider details
- NPI number
- 1457981797
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 4852194-3101 (UT)
Specialties & taxonomies
Nursing Service Providers
Practice location
750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
Approximate (ZIP-level) locationGet directions
Mailing address
750 N Freedom Blvd
Provo, UT 84601-1677
Additional practice locations (1)
- 151 S University Ave Ste 3200Provo, UT 84601-4427Phone: (801) 851-7128Fax: (801) 851-7102
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2021-12-14
- Certified
- 2021-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.