Provider Demographics
NPI:1790541084
Name:WHITE, RUTH A (NURSE AIDE)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:WHITE
Suffix:
Gender:F
Credentials:NURSE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20544 US HIGHWAY 23 LOT 43
Mailing Address - Street 2:
Mailing Address - City:CHILLICOTHE
Mailing Address - State:OH
Mailing Address - Zip Code:45601-9019
Mailing Address - Country:US
Mailing Address - Phone:740-703-9233
Mailing Address - Fax:
Practice Address - Street 1:20544 US HIGHWAY 23 LOT 43
Practice Address - Street 2:
Practice Address - City:CHILLICOTHE
Practice Address - State:OH
Practice Address - Zip Code:45601-9019
Practice Address - Country:US
Practice Address - Phone:740-703-9233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH402162720419376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide