Healthcare Provider Details

I. General information

NPI: 1861326407
Provider Name (Legal Business Name): RUTH STEADMAN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4101 WOOLWORTH AVE
OMAHA NE
68105-1850
US

IV. Provider business mailing address

12611 GOLD ST
OMAHA NE
68144-2620
US

V. Phone/Fax

Practice location:
  • Phone: 402-995-6747
  • Fax:
Mailing address:
  • Phone: 402-297-4803
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WM1400X
TaxonomyNurse Massage Therapist (NMT)
License Number74549
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: