Provider Demographics
NPI:1508043506
Name:RUCHHOEFT-ORDUNA, MARJORIE LYNN (WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MARJORIE
Middle Name:LYNN
Last Name:RUCHHOEFT-ORDUNA
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:MARJORIE
Other - Middle Name:LYNN
Other - Last Name:RUCHHOEFT-ORDUNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:WHNP
Mailing Address - Street 1:2501 CAPEHART RD
Mailing Address - Street 2:
Mailing Address - City:OFFUTT A F B
Mailing Address - State:NE
Mailing Address - Zip Code:68113-1043
Mailing Address - Country:US
Mailing Address - Phone:402-294-7401
Mailing Address - Fax:402-232-5945
Practice Address - Street 1:2501 CAPEHART RD
Practice Address - Street 2:
Practice Address - City:OFFUTT A F B
Practice Address - State:NE
Practice Address - Zip Code:68113-1043
Practice Address - Country:US
Practice Address - Phone:402-294-7401
Practice Address - Fax:402-232-5945
Is Sole Proprietor?:No
Enumeration Date:2008-01-22
Last Update Date:2008-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE51570363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health