Healthcare Provider Details

I. General information

NPI: 1417479957
Provider Name (Legal Business Name): KATELYN RENEE RUFF NNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATELYN RENEE HEATH

II. Dates (important events)

Enumeration Date: 07/15/2017
Last Update Date: 04/13/2025
Certification Date: 04/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8352
  • Fax: 330-543-3891
Mailing address:
  • Phone: 330-543-8352
  • Fax: 330-543-3891

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WN0002X
TaxonomyNeonatal Intensive Care Registered Nurse
License Number388092
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.021262
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberAPRN.CNP.021262
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: