Individual
MRS. MICHELLE DIANE RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 346-8800
(612) 725-1273
Mailing address
1310 JEFFERSON ST, OMAHA, NE 68107-4326
(402) 238-0889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
22956
NE
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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