Provider Demographics
NPI:1508636994
Name:BENDER, RUTH EVELYN (ADN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:EVELYN
Last Name:BENDER
Suffix:
Gender:F
Credentials:ADN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5758 TOWNSHIP ROAD 430
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:OH
Mailing Address - Zip Code:43138-9228
Mailing Address - Country:US
Mailing Address - Phone:740-603-7737
Mailing Address - Fax:
Practice Address - Street 1:5758 TOWNSHIP ROAD 430
Practice Address - Street 2:
Practice Address - City:LOGAN
Practice Address - State:OH
Practice Address - Zip Code:43138-9228
Practice Address - Country:US
Practice Address - Phone:740-603-7737
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH168363163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health