Provider Demographics
NPI:1073814109
Name:RANZONI, RUTH ELLEN (R N)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ELLEN
Last Name:RANZONI
Suffix:
Gender:F
Credentials:R N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1480 MORSE LN SW
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:OR
Mailing Address - Zip Code:97321-3670
Mailing Address - Country:US
Mailing Address - Phone:541-926-2774
Mailing Address - Fax:
Practice Address - Street 1:1480 MORSE LN SW
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:OR
Practice Address - Zip Code:97321-3670
Practice Address - Country:US
Practice Address - Phone:541-926-2774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-05
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0840541113163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health