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Individual

RUBY MARIE-NORTHRUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6041 VILLAGE DR STE 110, LINCOLN, NE 68516-5774
(402) 484-5656
(402) 484-5741
Mailing address
6041 VILLAGE DR STE 110, LINCOLN, NE 68516-5774
(402) 484-5656
(402) 484-5741

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
233
NE
207R00000X
Internal Medicine Physician
233
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
47083425413
NE
Enumeration date
12/05/2006
Last updated
07/26/2024
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