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NPI Code Detail

MEDICARE: CHERYL RUFF CRNA

MEDICARE: CHERYL RUFF CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist24165348MD

General Provider Information

NPI Number : 1043320229
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL RUFF CRNA
Provider Business Mailing Address
First Line : 804 SCOTT NIXON MEMORIAL DR
Second Line :
City : AUGUSTA
State : GA
Zip : 30907-2464
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9000 FRANKLIN SQUARE DR
Second Line :
City : ROSEDALE
State : MD
Zip : 21237-3901
Country : US
Telephone Number : 443-777-7659
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2006
Last Update Date : 10/22/2007

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