Provider Demographics
NPI:1972648335
Name:MRUZ, ESTELLE V (RNFA)
Entity type:Individual
Prefix:MRS
First Name:ESTELLE
Middle Name:V
Last Name:MRUZ
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:ESTELLE
Other - Middle Name:V
Other - Last Name:COSMOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNFA
Mailing Address - Street 1:1207 TORREY PINES CT
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-1400
Mailing Address - Country:US
Mailing Address - Phone:630-220-6900
Mailing Address - Fax:630-566-1669
Practice Address - Street 1:1207 TORREY PINES CT
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-1400
Practice Address - Country:US
Practice Address - Phone:630-220-6900
Practice Address - Fax:630-566-1669
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041-232815163WR0006X
IL041232815163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant