Provider Demographics
NPI:1073140547
Name:BHATT, RUCHI (RN)
Entity Type:Individual
Prefix:MS
First Name:RUCHI
Middle Name:
Last Name:BHATT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2136 WALLBROOK DR
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-6694
Mailing Address - Country:US
Mailing Address - Phone:469-223-5434
Mailing Address - Fax:
Practice Address - Street 1:2136 WALLBROOK DR
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-6694
Practice Address - Country:US
Practice Address - Phone:469-223-5434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX693318163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse