Provider Demographics
NPI:1083906390
Name:OWUSU, RUTH
Entity Type:Individual
Prefix:MISS
First Name:RUTH
Middle Name:
Last Name:OWUSU
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 1:8846 EAGLEVIEW DR APT 6
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-6715
Mailing Address - Country:US
Mailing Address - Phone:513-614-6409
Mailing Address - Fax:
Practice Address - Street 1:8846 EAGLEVIEW DR APT 6
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6715
Practice Address - Country:US
Practice Address - Phone:513-614-6409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN 378330163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse