Individual
MR. SHAD THOMAS RUBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
1805 27TH ST, PORTSMOUTH, OH 45662-2686
(740) 356-6891
(740) 356-1280
Mailing address
1735 27TH ST STE B06, PORTSMOUTH, OH 45662-2681
(740) 356-8008
(740) 356-1280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.0027236
OH
Other
Enumeration date
01/21/2021
Last updated
04/27/2023
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