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NPI Code Detail

MEDICARE: MRS. COLLEEN HEATHER RUIZ RN

MEDICARE: MRS. COLLEEN HEATHER RUIZ RN
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
1163WS0200XSchool Registered Nurse354317OH

General Provider Information

NPI Number : 1962872093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. COLLEEN HEATHER RUIZ RN
Provider Business Mailing Address
First Line : 200 VIKING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1138
Country : US
Telephone Number : 513-864-2070
Fax Number : 513-552-8511
Provider Business Practice Location Address
First Line : 200 VIKING WAY
Second Line :
City : CINCINNATI
State : OH
Zip : 45246-1138
Country : US
Telephone Number : 513-864-2070
Fax Number : 513-552-8511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2015
Last Update Date : 10/01/2015

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