IndividualActive
Anna Ruiz-Gruwell, NP-C
NPI 1619239712 · Adult Health Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1619239712
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- NP-1174A (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2275 W Broadway St
Suite G
Idaho Falls, ID 83402-2902
Phone: (208) 529-3967
Fax: (208) 419-0684
Approximate (ZIP-level) locationGet directions
Mailing address
2275 W Broadway St
Idaho Falls, ID 83402-2902
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2016-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.