Provider Demographics
NPI:1558514976
Name:WOOLEN, RUTHEL (LVN)
Entity Type:Individual
Prefix:MRS
First Name:RUTHEL
Middle Name:
Last Name:WOOLEN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:MRS
Other - First Name:DR. RUTHEL
Other - Middle Name:
Other - Last Name:WOOLEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LVN/PHD
Mailing Address - Street 1:2420 N INTERSTATE 35 E # 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75134-2110
Mailing Address - Country:US
Mailing Address - Phone:972-293-5301
Mailing Address - Fax:972-224-0291
Practice Address - Street 1:2420 N INTERSTATE 35 E # 103
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75134-2110
Practice Address - Country:US
Practice Address - Phone:972-293-5301
Practice Address - Fax:972-224-0291
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112715164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse