Provider Demographics
NPI:1255877510
Name:SOHNS, RUTH A (DNP-FNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:SOHNS
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:IVALIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3301 W FOREST HOME AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53215-2843
Mailing Address - Country:US
Mailing Address - Phone:414-649-3370
Mailing Address - Fax:414-649-3529
Practice Address - Street 1:2801 W KINNICKINNIC RIVER PKWY STE 880
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53215-3678
Practice Address - Country:US
Practice Address - Phone:414-649-3370
Practice Address - Fax:414-649-3529
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI7582-33363LF0000X
WI39-0806324390200000X
WI7582363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI100066097Medicaid