Provider Demographics
NPI:1417479957
Name:RUFF, KATELYN RENEE (NNP-BC)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:RENEE
Last Name:RUFF
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:RENEE
Other - Last Name:HEATH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-8352
Mailing Address - Fax:330-543-3891
Practice Address - Street 1:1 PERKINS SQ
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1063
Practice Address - Country:US
Practice Address - Phone:330-543-8352
Practice Address - Fax:330-543-3891
Is Sole Proprietor?:No
Enumeration Date:2017-07-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH388092163WN0002X
OHAPRN.CNP.021262363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
No163WN0002XNursing Service ProvidersRegistered NurseNeonatal Intensive Care