Provider Demographics
NPI:1114041589
Name:TOLSON, RUTH A (RN, CDE)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:A
Last Name:TOLSON
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 DENNISON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3262
Mailing Address - Country:US
Mailing Address - Phone:614-884-4400
Mailing Address - Fax:614-884-4484
Practice Address - Street 1:1100 DENNISON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-3262
Practice Address - Country:US
Practice Address - Phone:614-884-4400
Practice Address - Fax:614-884-4484
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0941-6578163WD0400X
OHRN 084909163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0941-6578OtherCDE