Provider Demographics
NPI:1982868337
Name:ZUNIGA, RUTH JOSEPHINE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:RUTH
Middle Name:JOSEPHINE
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 E 188TH ST
Mailing Address - Street 2:APT 5E
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10458-5439
Mailing Address - Country:US
Mailing Address - Phone:718-365-8721
Mailing Address - Fax:
Practice Address - Street 1:307 E 188TH ST
Practice Address - Street 2:APT 5E
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-5439
Practice Address - Country:US
Practice Address - Phone:718-365-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY230440164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse