Provider Demographics
NPI:1376812172
Name:RAMPART, RUTH MARIE (RN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:RAMPART
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MARIE
Other - Last Name:TROSTLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:140891 WOODLAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:WAUSAU
Mailing Address - State:WI
Mailing Address - Zip Code:54401-4931
Mailing Address - Country:US
Mailing Address - Phone:715-302-1292
Mailing Address - Fax:
Practice Address - Street 1:140891 WOODLAND DRIVE
Practice Address - Street 2:
Practice Address - City:WAUSAU
Practice Address - State:WI
Practice Address - Zip Code:54401-4931
Practice Address - Country:US
Practice Address - Phone:715-302-1292
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-22
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI179505163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse