Provider Demographics
NPI:1831592914
Name:RUFF, LINDA (RDN)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:RUFF
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:RUFF, R.D.N.
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RDN
Mailing Address - Street 1:PO BOX 6624
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47719-0624
Mailing Address - Country:US
Mailing Address - Phone:317-508-9471
Mailing Address - Fax:
Practice Address - Street 1:4375 GEORGETOWN RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2150
Practice Address - Country:US
Practice Address - Phone:317-293-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered