Individual
RUTH NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1815 E IRELAND RD, SOUTH BEND, IN 46614-2845
(574) 647-1700
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3437
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
137088
KS
363L00000X
Nurse Practitioner
Primary
53-80611
KS
363LF0000X
Family Nurse Practitioner
71015115A
IN
Other
Enumeration date
09/08/2021
Last updated
07/30/2025
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