Healthcare Provider Details

I. General information

NPI: 1144011826
Provider Name (Legal Business Name): EMMA NICOLE RUGA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 MILESTONE DR APT 215
FINDLAY OH
45840-7350
US

IV. Provider business mailing address

2130 MILESTONE DR APT 215
FINDLAY OH
45840-7350
US

V. Phone/Fax

Practice location:
  • Phone: 269-615-8934
  • Fax:
Mailing address:
  • Phone: 269-615-8934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: