Individual provider · Type 1 NPI

Beth Ruffalo

Licensed Practical Nurse · Racine, WI

NPI number 1306774765 Active

Practice location

3109 Mount Pleasant St
Racine, WI 53404-1511

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X306479-31 (WI)

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 1306774765

Beth Ruffalo's National Provider Identifier is 1306774765, issued on May 13, 2026. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Racine, WI. The record was last updated on May 15, 2026.