Provider Demographics
NPI:1427356237
Name:RUIZ, WHITNEY DEANNE (RDMS)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DEANNE
Last Name:RUIZ
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:716 W EMERSON ST
Mailing Address - Street 2:
Mailing Address - City:PARAGOULD
Mailing Address - State:AR
Mailing Address - Zip Code:72450-5924
Mailing Address - Country:US
Mailing Address - Phone:870-351-1847
Mailing Address - Fax:
Practice Address - Street 1:716 W EMERSON ST
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-5924
Practice Address - Country:US
Practice Address - Phone:870-351-1847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1476892471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography