Healthcare Provider Details

I. General information

NPI: 1962919159
Provider Name (Legal Business Name): RUTH ANN HURSMAN RN-MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2018
Last Update Date: 01/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3315 UNIVERSITY DR
BISMARCK ND
58504-7565
US

IV. Provider business mailing address

3315 UNIVERSITY DR
BISMARCK ND
58504-7565
US

V. Phone/Fax

Practice location:
  • Phone: 701-221-1331
  • Fax: 701-530-0645
Mailing address:
  • Phone: 701-221-1331
  • Fax: 701-530-0645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1400X
TaxonomyCollege Health Registered Nurse
License NumberR27472
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: