Provider Demographics
NPI:1427334978
Name:SCHROEDER, RUTH ANN (RNFA)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:SCHROEDER
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1106 PARKWOOD RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701-5342
Mailing Address - Country:US
Mailing Address - Phone:605-484-3011
Mailing Address - Fax:
Practice Address - Street 1:1106 PARKWOOD RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5342
Practice Address - Country:US
Practice Address - Phone:605-484-3011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA650628163WR0006X
SDR020906S163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant