Individual provider · Type 1 NPI
Prentice R. Ruth, NP
Gerontology Nurse Practitioner · Indianapolis, IN
NPI number
1982470902
Active
Practice location
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Fax (317) 222-2012
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 71014688A (IN) |
| Nurse Practitioner | 363L00000X | 71014688A (IN) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1982470902
Prentice R. Ruth, NP's National Provider Identifier is 1982470902, issued on Nov 30, 2023. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Indianapolis, IN. The record was last updated on Jan 15, 2024.