Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. IAN LLOYD RUIZ BACCAY, RN
Active Sole ProprietorMR. IAN LLOYD RUIZ BACCAY, RN is a Nurse Practitioner healthcare provider located in FORT MOHAVE, Arizona. NPI 1093496069 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · FORT MOHAVE, AZ
Registration Details
- NPI Number
- 1093496069
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 31, 2023 (3.0257725982372 yrs)
- Last Updated
- Jun 12, 2025
- Licenses
-
100460 (GU)295726 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5263 S HIGHWAY 95 , FORT MOHAVE, AZ 86426FORT MOHAVE, AZ, 864269223Browse AZ providers · Browse ZIP 86426
- Phone
- 9287046400
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in FORT MOHAVE, AZ
| Name | Credential | NPI |
|---|---|---|
| OKEY ILOEGBUNAM | FNP | 1477072130 |
| CLIFFORD J BRAGG | NP | 1912486523 |
| MR. LARRY LEE BOUSQUET II | FNP | 1205544871 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.