Provider Demographics
NPI:1366487480
Name:HEINZMAN, RUTH ANN (RN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:HEINZMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10601 N MERIDIAN ST
Mailing Address - Street 2:# 200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46290-1152
Mailing Address - Country:US
Mailing Address - Phone:317-575-2700
Mailing Address - Fax:317-575-2713
Practice Address - Street 1:10601 N MERIDIAN ST
Practice Address - Street 2:# 200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46290-1152
Practice Address - Country:US
Practice Address - Phone:317-575-2700
Practice Address - Fax:317-575-2713
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28078306163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse