Provider Demographics
NPI:1578018727
Name:MCGLOTHAN, RUBY (RN)
Entity Type:Individual
Prefix:MRS
First Name:RUBY
Middle Name:
Last Name:MCGLOTHAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20651 DONNY BROOK RD
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3109
Mailing Address - Country:US
Mailing Address - Phone:216-663-5623
Mailing Address - Fax:
Practice Address - Street 1:20651 DONNY BROOK RD
Practice Address - Street 2:
Practice Address - City:MAPLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44137-3109
Practice Address - Country:US
Practice Address - Phone:216-663-5623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-17
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN150752163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse