Provider Demographics
NPI:1356011241
Name:PARSONS, RUTHANNE MARIE
Entity Type:Individual
Prefix:MRS
First Name:RUTHANNE
Middle Name:MARIE
Last Name:PARSONS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RUTHANNE
Other - Middle Name:MARIE
Other - Last Name:FOREHAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 TOMPKINS ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3393
Mailing Address - Country:US
Mailing Address - Phone:607-756-9941
Mailing Address - Fax:
Practice Address - Street 1:260 TOMPKINS ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3393
Practice Address - Country:US
Practice Address - Phone:607-756-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-14
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY352567363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily