Estelle V. Mruz, RNFA

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

041-232815 Issued in IL

Practice address

1207 Torrey Pines CT
Naperville, IL 60540-1400

Phone

(630) 220-6900

Fax

(630) 566-1669

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Estelle V Cosmos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474848000000",
    "number": "1972648335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 TORREY PINES CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401400",
            "telephone_number": "630-220-6900",
            "fax_number": "630-566-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 TORREY PINES CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401400",
            "telephone_number": "630-220-6900",
            "fax_number": "630-566-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MRUZ",
        "first_name": "ESTELLE",
        "middle_name": "V.",
        "name_prefix": "Mrs.",
        "credential": "RNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2016-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041-232815",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "IL",
            "license": "041232815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTELLE",
            "last_name": "COSMOS",
            "middle_name": "V",
            "credential": "RNFA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Nurse First Assistant in Naperville, IL
• Providers in Naperville, IL by specialty
• Registered Nurse First Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.