ANN BOSLEY RUGE


Address: 1235 Eighth St., Las Vegas, NM 87701-4219
Phone: 5054256788

ANN BOSLEY RUGE (NPI# 1295977759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295977759
Entity Type Individual
Full Name ANN BOSLEY RUGE
Credential CNM
Practice Address 1235 Eighth St.
Las Vegas
NM 87701-4219
Mailing Address Po Box 158
538 N. Paseo De Onate
Espanola
NM 87532-0158
Practice Telephone 5054256788
Practice Fax Number 5054255408
Mailing Telephone 5057537218
Mailing Fax Number 5057535815
Enumeration Date 2009-03-30
Last Update Date 2013-07-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse R66780 NM Nursing Service Providers
Y 364SW0102X Clinical Nurse Specialist
Specialization: Women's Health
581 NM Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NM MEDICARE PTAN NM400322 01
NM 68058845 05

Office Location

Street Address 1235 EIGHTH ST.
City LAS VEGAS
State NM
Zip Code 87701-4219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053305474 Matthew D. Probst Physician Assistant 1235 Eighth St., Las Vegas, NM 87701-4219 2005-08-31
1932246683 Chris B. Ruge Nurse Practitioner 1235 Eighth St., Las Vegas, NM 87701-4219 2007-01-31
1477639474 Danita Tanner Social Worker 1235 Eighth St., El Centro Family Health Las Vegas Clinic, Las Vegas, NM 87701-4219 2006-10-31

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1750730826 John Michael Tourangeau Social Worker 1920 7th Street, Las Vegas, NM 87701 2016-06-08
1154705689 Lindsy Laura Kragt Allen Podiatrist 1608 7th St, Las Vegas, NM 87701 2015-07-14
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Taxonomy Information

Taxonomy Code 364SW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649403841 Luellen Ann Greenlick Clinical Nurse Specialist 8480 S Eastern Ave, Las Vegas, NV 89123-2821 2009-09-03

Competitor

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City LAS VEGAS
Zip Code 87701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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