Provider Demographics
NPI:1851927974
Name:RUF, RACHEL (RN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:RUF
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 1:17008 165TH AVE
Mailing Address - Street 2:
Mailing Address - City:JIM FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54748-2303
Mailing Address - Country:US
Mailing Address - Phone:715-864-9208
Mailing Address - Fax:
Practice Address - Street 1:6480 TECHNOLOGY AVE
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-8119
Practice Address - Country:US
Practice Address - Phone:269-250-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI126609-30163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy