Provider Demographics
NPI:1780468587
Name:RUWET, STEPHANIE (RN)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:
Last Name:RUWET
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:RUWET
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:STEPHANIE RUWET, RN
Mailing Address - Street 1:8300 CORPORATE DR STE 120
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-2413
Mailing Address - Country:US
Mailing Address - Phone:301-249-4333
Mailing Address - Fax:
Practice Address - Street 1:8300 CORPORATE DR STE 120
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-2413
Practice Address - Country:US
Practice Address - Phone:301-249-4333
Practice Address - Fax:301-576-3631
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXT20221166163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health