Provider Demographics
NPI:1043587199
Name:BURNS, RUTH BROMEN
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:BROMEN
Last Name:BURNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 FERNANDO CT
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-8131
Mailing Address - Country:US
Mailing Address - Phone:952-953-9518
Mailing Address - Fax:
Practice Address - Street 1:6100 FERNANDO CT
Practice Address - Street 2:
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-8131
Practice Address - Country:US
Practice Address - Phone:952-953-9518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-17
Last Update Date:2011-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula