Individual provider · Type 1 NPI

Khoriasa Marie Ruffell, LPN

Licensed Practical Nurse · Pleasant Valley, NY

NPI number 1154119808 Active

Practice location

6 Walnut Dr
Pleasant Valley, NY 12569-6934

Call (845) 366-9212 Map

Mailing address

15 Suffern Pl Ste A
Suffern, NY 10901-5566

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X332724-01 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154119808

Khoriasa Marie Ruffell, LPN's National Provider Identifier is 1154119808, issued on Apr 30, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Pleasant Valley, NY. The record was last updated on Apr 30, 2025.