Provider Demographics
NPI:1255636031
Name:RUOFF, TERESITA CLARET (PA-C)
Entity type:Individual
Prefix:
First Name:TERESITA
Middle Name:CLARET
Last Name:RUOFF
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-481-8540
Mailing Address - Fax:336-481-8549
Practice Address - Street 1:1226 EASTCHESTER DR STE 100
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3116
Practice Address - Country:US
Practice Address - Phone:336-481-8540
Practice Address - Fax:336-481-8549
Is Sole Proprietor?:No
Enumeration Date:2011-01-25
Last Update Date:2021-08-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02741363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant