Provider Demographics
NPI:1841517968
Name:RUYF, LORENA JEAN (RN)
Entity type:Individual
Prefix:MS
First Name:LORENA
Middle Name:JEAN
Last Name:RUYF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11964 TOWNSHIP ROAD 474 NE
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:OH
Mailing Address - Zip Code:43783-9708
Mailing Address - Country:US
Mailing Address - Phone:740-743-2934
Mailing Address - Fax:
Practice Address - Street 1:11964 TOWNSHIP ROAD 474 NE
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:OH
Practice Address - Zip Code:43783-9708
Practice Address - Country:US
Practice Address - Phone:740-743-2934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-29
Last Update Date:2010-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH358882163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse