Provider Demographics
NPI:1609650969
Name:STRATTON, RUTH ELLEN X
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ELLEN
Last Name:STRATTON
Suffix:X
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 1:8233 CRABAPPLE AVE NE
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-1758
Mailing Address - Country:US
Mailing Address - Phone:330-806-7609
Mailing Address - Fax:
Practice Address - Street 1:8233 CRABAPPLE AVE NE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44721-1758
Practice Address - Country:US
Practice Address - Phone:330-806-7609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker