Amundson, Ruth Marie
Amundson, Ruth Marie is an sole proprietor health care provider with primary practice located at 18887 N 71St Ln , Glendale AZ 85308-5860. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Amundson, Ruth Marie can be contacted via phone (602) 549-2029.Contact Information
Primary practice address
18887 N 71St Ln
Glendale AZ 85308-5860
Phone: (602) 549-2029
Fax: (623) 412-4861
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LP048386 | Arizona |
Profile Details
| NPI number | 1942761192 |
|---|---|
| LBN Legal business name | Amundson, Ruth Marie |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Mar 29th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942761192 | NPPES |
| Arizona | MEDICAID | LP048386 |
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