Provider Demographics
NPI:1093375677
Name:RUFFANER, ERICA (LPN)
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:RUFFANER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 UNION VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WAMPUM
Mailing Address - State:PA
Mailing Address - Zip Code:16157-6106
Mailing Address - Country:US
Mailing Address - Phone:724-980-1914
Mailing Address - Fax:
Practice Address - Street 1:148 UNION VALLEY RD
Practice Address - Street 2:
Practice Address - City:WAMPUM
Practice Address - State:PA
Practice Address - Zip Code:16157-6106
Practice Address - Country:US
Practice Address - Phone:724-980-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-17
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN296516164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse