Provider Demographics
NPI:1851165427
Name:RUOSS, MICHELLE N (APRN, PMHNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:N
Last Name:RUOSS
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 HAYWARD CIR
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8025
Mailing Address - Country:US
Mailing Address - Phone:805-822-7257
Mailing Address - Fax:
Practice Address - Street 1:1126 HAYWARD CIR
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-8025
Practice Address - Country:US
Practice Address - Phone:805-822-7257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0035382363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health