Individual
MRS. SARA A RUBY
Active
Individual
MRS. SARA A RUBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN318517
OH
363L00000X
Nurse Practitioner
COA.11528-NP
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
COA11528-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3087538
—
OH
Enumeration date
04/16/2010
Last updated
11/07/2014
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