Provider Demographics
NPI:1093249195
Name:RUFFO, ANN ONETTE (DO)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:ONETTE
Last Name:RUFFO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:ANN
Other - Middle Name:
Other - Last Name:BRAKEFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:510 8TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:HAZEN
Mailing Address - State:ND
Mailing Address - Zip Code:58545-4637
Mailing Address - Country:US
Mailing Address - Phone:701-748-2256
Mailing Address - Fax:701-873-4199
Practice Address - Street 1:510 8TH AVE NE
Practice Address - Street 2:
Practice Address - City:HAZEN
Practice Address - State:ND
Practice Address - Zip Code:58545-4637
Practice Address - Country:US
Practice Address - Phone:701-748-2256
Practice Address - Fax:701-873-4199
Is Sole Proprietor?:No
Enumeration Date:2017-04-14
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND18471207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine