Provider Demographics
NPI:1699577759
Name:ARUGA HEALTH PLLC
Entity type:Organization
Organization Name:ARUGA HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MA MARIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:REYES
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:702-553-1643
Mailing Address - Street 1:3545 S FORT APACHE RD STE 130
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89147-3441
Mailing Address - Country:US
Mailing Address - Phone:702-553-1643
Mailing Address - Fax:702-718-7991
Practice Address - Street 1:3545 S FORT APACHE RD STE 130
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89147-3441
Practice Address - Country:US
Practice Address - Phone:702-553-1643
Practice Address - Fax:702-718-7991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Multi-Specialty