Healthcare Provider Details

I. General information

NPI: 1356021695
Provider Name (Legal Business Name): RUTH ANN HOPLER FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 09/05/2024
Certification Date: 09/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 HILL RD N
PICKERINGTON OH
43147-8659
US

IV. Provider business mailing address

1100 HILL RD N
PICKERINGTON OH
43147-8659
US

V. Phone/Fax

Practice location:
  • Phone: 614-572-6610
  • Fax:
Mailing address:
  • Phone: 614-572-6610
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0034204
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF03230579
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: