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NPI Code Detail

MEDICARE: NAOMI MUTHONI RUIRU APNP

MEDICARE: NAOMI MUTHONI RUIRU APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerA163915IA
2363LF0000XFamily Nurse Practitioner11121WI
3363L00000XNurse Practitioner11121-33WI

General Provider Information

NPI Number : 1003366733
Entity Type Code : Individual
Provider Name (Legal Business Name) : NAOMI MUTHONI RUIRU APNP
Provider Business Mailing Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Provider Business Practice Location Address
First Line : 1836 SOUTH AVE
Second Line :
City : LA CROSSE
State : WI
Zip : 54601-5429
Country : US
Telephone Number : 608-782-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2016
Last Update Date : 06/18/2026

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