Provider Demographics
NPI:1902696032
Name:STUMP, RONALD (RN)
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:STUMP
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9884 MONTCLAIRE DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-9532
Mailing Address - Country:US
Mailing Address - Phone:513-484-2661
Mailing Address - Fax:
Practice Address - Street 1:9884 MONTCLAIRE DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-9532
Practice Address - Country:US
Practice Address - Phone:513-484-2661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.442673163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice