Provider Demographics
NPI:1568081529
Name:RUAN, NASHONA LEONNA
Entity Type:Individual
Prefix:
First Name:NASHONA
Middle Name:LEONNA
Last Name:RUAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7853 GUNN HWY STE 363
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33626-1611
Mailing Address - Country:US
Mailing Address - Phone:813-666-2716
Mailing Address - Fax:
Practice Address - Street 1:15512 CARRILLON ESTATES BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33625-3302
Practice Address - Country:US
Practice Address - Phone:813-666-2716
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider