Provider Demographics
NPI:1689864159
Name:OMAN, RUTH ANN (ARNP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:OMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 E CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-5558
Mailing Address - Country:US
Mailing Address - Phone:509-251-4739
Mailing Address - Fax:
Practice Address - Street 1:S 2320 SALNAVE RD
Practice Address - Street 2:
Practice Address - City:MEDICAL LAKE
Practice Address - State:WA
Practice Address - Zip Code:99022-0200
Practice Address - Country:US
Practice Address - Phone:509-299-1978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-31
Last Update Date:2021-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00103657163W00000X
WAAP60147816363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse