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Individual

ASHLEY DAWN RUIZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
(574) 524-7575
(574) 524-7576
Mailing address
3245 HEALTH DRIVE, STE 100, GRANGER, IN 46530-2493
(574) 647-1840

Taxonomy

Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
28196367A
IN
367A00000X
Advanced Practice Midwife
Primary
09000463A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300090105
IN
Enumeration date
02/06/2024
Last updated
05/12/2025
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