Provider Demographics
NPI:1912535899
Name:DEWINDT, RUTH
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:DEWINDT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 BRIDLEWOOD WAY APT C31
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-7347
Mailing Address - Country:US
Mailing Address - Phone:717-668-0570
Mailing Address - Fax:
Practice Address - Street 1:60 BRIDLEWOOD WAY APT C31
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-7347
Practice Address - Country:US
Practice Address - Phone:717-668-0570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA9948841376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide