Individual
MRS. LENEJEAN RUOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
23095 COLGATE ST, FARMINGTON HILLS, MI 48336-3623
(313) 268-9991
Mailing address
23095 COLGATE ST, FARMINGTON HILLS, MI 48336-3623
(313) 268-9991
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
4704297224NSA190S6
MI
364SH0200X
Home Health Clinical Nurse Specialist
Primary
4704297224
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508329954
—
MI
01
—
4704297224NSA190S6
NURSE PRACTITIONER
MI
Enumeration date
04/12/2019
Last updated
05/16/2023
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