Provider Demographics
NPI:1629332994
Name:SUMBLER, RUTH BRUNILDA (LPN)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:BRUNILDA
Last Name:SUMBLER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5414 BINGHAM ST
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-2643
Mailing Address - Country:US
Mailing Address - Phone:215-289-0536
Mailing Address - Fax:215-289-0536
Practice Address - Street 1:909 SUMNEYTOWN PIKE
Practice Address - Street 2:
Practice Address - City:SPRING HOUSE
Practice Address - State:PA
Practice Address - Zip Code:19477-1011
Practice Address - Country:US
Practice Address - Phone:215-643-1200
Practice Address - Fax:215-540-0756
Is Sole Proprietor?:No
Enumeration Date:2012-07-01
Last Update Date:2012-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPN052556L164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse