Provider Demographics
NPI:1700565918
Name:RUGGLES-MILLER, ANN CLAUDIA (MST)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:CLAUDIA
Last Name:RUGGLES-MILLER
Suffix:
Gender:F
Credentials:MST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:CADYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12918
Mailing Address - Country:US
Mailing Address - Phone:518-561-6361
Mailing Address - Fax:
Practice Address - Street 1:125 INDIAN ROCK RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NY
Practice Address - Zip Code:12997-7726
Practice Address - Country:US
Practice Address - Phone:518-637-5080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist