Provider Demographics
NPI:1720463318
Name:OGOT, RUTH A (DNP-C)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:A
Last Name:OGOT
Suffix:
Gender:F
Credentials:DNP-C
Other - Prefix:MS
Other - First Name:RUTH
Other - Middle Name:A
Other - Last Name:OGOT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NURSE PRACTITIONER
Mailing Address - Street 1:1401 21ST ST # 10142
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95811-5226
Mailing Address - Country:US
Mailing Address - Phone:661-472-1192
Mailing Address - Fax:
Practice Address - Street 1:1401 21ST ST # 10142
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95811-5226
Practice Address - Country:US
Practice Address - Phone:661-472-1192
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95002486363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily