MEDICARE: KATHERINE JOY RUHLMAN CNP

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
1	363LF0000X	Family Nurse Practitioner	COA.18293-NP	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609249119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE JOY RUHLMAN CNP

Provider Business Mailing Address
First Line	:	6438 WILMINGTON PIKE STE 100
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-7021
Country	:	US
Telephone Number	:	937-558-3840
Fax Number	:	937-558-3844

Provider Business Practice Location Address
First Line	:	6438 WILMINGTON PIKE STE 100
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45459-7021
Country	:	US
Telephone Number	:	937-558-3840
Fax Number	:	937-558-3844

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/05/2015
Last Update Date	:	04/08/2025

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