TANAKA RUZVIDZO APRN-CNP NPI 1124842398

NPI Information

  • NPI: 1124842398
  • Provider Name: TANAKA RUZVIDZO, APRN-CNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3023 PERRYTON PKWY
    PAMPA, TX
    ZIP 79065
  • Phone: (806) 665-0801

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NPI Details

Tanaka Ruzvidzo, APRN-CNP is a psychiatric/mental health nurse practitioner in Pampa, TX. Tanaka Ruzvidzo, APRN-CNP NPI is 1124842398. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3023 PERRYTON PKWY
PAMPA, TX
ZIP 79065-821
Phone: (806) 665-0801
Fax: (806) 665-8503

The NPI 1124842398 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/13/2024 and was last updated on 11/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health1179783TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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