Most Relevant Information
Provider Data
| NPI Number: | 1003572660 |
| Provider Name: | CARYN ANN RUZIC APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209024624 |
Most Important Dates
| Enumeration Date: | 11/09/2021 |
| Last Updated: | 03/30/2023 |
Provider Practice Location
1200 W STATE ST
ROCKFORD
IL
611022112
Practice Location Phone/Fax
| Phone: | 8154901600 |
| Fax: | 8154901881 |
Provider Mailing Location
1200 W STATE ST
ROCKFORD
IL
611022112
Provider Mailing Phone/Fax
| Phone: | 8154901600 |
| Fax: | 8154901881 |