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NPI Code Detail

MEDICARE: MS. KRISTIE RUFF CPNP

MEDICARE: MS. KRISTIE RUFF CPNP
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
1363LP0200XPediatric Nurse PractitionerRN241811-COA1OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396718730
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KRISTIE RUFF CPNP
Provider Business Mailing Address
First Line : 3350 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1173
Country : US
Telephone Number : 419-255-9585
Fax Number :
Provider Business Practice Location Address
First Line : 3350 COLLINGWOOD BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43610-1173
Country : US
Telephone Number : 419-255-9585
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 04/06/2016

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