Provider Demographics
NPI:1679661458
Name:RUHRER, BRENDA ANN (RN)
Entity Type:Individual
Prefix:
First Name:BRENDA
Middle Name:ANN
Last Name:RUHRER
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 1:2601 NW 25TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68524-1890
Mailing Address - Country:US
Mailing Address - Phone:402-309-1832
Mailing Address - Fax:402-309-1839
Practice Address - Street 1:2601 NW 25TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68524-1890
Practice Address - Country:US
Practice Address - Phone:402-309-1832
Practice Address - Fax:402-309-1839
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE52100163WX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0106XNursing Service ProvidersRegistered NurseOccupational Health