Provider Demographics
NPI:1386781011
Name:RUHL, PEPPA (RN)
Entity type:Individual
Prefix:
First Name:PEPPA
Middle Name:
Last Name:RUHL
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 1:13744 E GATEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85367-7445
Mailing Address - Country:US
Mailing Address - Phone:928-342-9392
Mailing Address - Fax:
Practice Address - Street 1:9851 E 28TH ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-7132
Practice Address - Country:US
Practice Address - Phone:928-502-7407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN026616163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool