Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Itzai Andrea Ruiz, OCPSA161734

Individual provider Peer Specialist · NPI 1295401669

Miss. Itzai Andrea Ruiz, OCPSA161734 is a Peer Specialist in Lorain, Ohio. Licensed in Ohio. Registered with an NPI since 2021.

Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

2115 W Park Dr
Lorain, OH 44053-1138
Phone: (440) 989-4900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prevention Professional (primary) Taxonomy 405300000X · Licence 161734 (OH)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1295401669
Entity typeIndividual (Type 1)
GenderFemale
Credentials OCPSA161734
Sole proprietorNo
NPI enumeratedAugust 17, 2021
Last updated in NPPESSeptember 6, 2023
Certification dateSeptember 6, 2023

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