Provider Demographics
NPI:1336587286
Name:TURNER, RUTH MUTODA (RN)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:MUTODA
Last Name:TURNER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:MUTODA
Other - Last Name:NWINYE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:3004 N 169TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68116-2621
Mailing Address - Country:US
Mailing Address - Phone:951-392-6665
Mailing Address - Fax:
Practice Address - Street 1:3004 N 169TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68116-2621
Practice Address - Country:US
Practice Address - Phone:951-392-6665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA722497163W00000X, 163WC1500X, 163WH1000X, 163WM0705X, 171M00000X
NE81555163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical
No171M00000XOther Service ProvidersCase Manager/Care Coordinator