Provider Demographics
NPI:1063895530
Name:HUGHES-STEMPLE, MERIRUTH (RN)
Entity type:Individual
Prefix:
First Name:MERIRUTH
Middle Name:
Last Name:HUGHES-STEMPLE
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 1:2378 RICHMOND RD
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44221-3716
Mailing Address - Country:US
Mailing Address - Phone:330-338-5182
Mailing Address - Fax:330-928-3370
Practice Address - Street 1:2378 RICHMOND RD
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3716
Practice Address - Country:US
Practice Address - Phone:330-338-5182
Practice Address - Fax:330-928-3370
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH403913163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse