Moss, Ruby Waga

Moss, Ruby Waga is an sole proprietor health care provider with primary practice located at 1544 Sheldon St , Saint Paul MN 55108-2331. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Moss, Ruby Waga can be contacted via phone (651) 646-3091.

Contact Information

Primary practice address
1544 Sheldon St Saint Paul MN 55108-2331
Phone: (651) 646-3091
Fax: (651) 646-3124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R 091572-6 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 049536 Minnesota

Profile Details

NPI number 1184688863
LBN Legal business name Moss, Ruby Waga
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 12th, 2006
Last updated Jul 16th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184688863 NPPES
Minnesota MEDICAID 443720900

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