Provider Demographics
NPI:1184051781
Name:TREMBLAY, RUTH ANN (RN)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANN
Last Name:TREMBLAY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 537
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:WA
Mailing Address - Zip Code:98592-0537
Mailing Address - Country:US
Mailing Address - Phone:360-490-9465
Mailing Address - Fax:360-898-2051
Practice Address - Street 1:250 E HAWKS VIEW PL
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:WA
Practice Address - Zip Code:98592
Practice Address - Country:US
Practice Address - Phone:360-490-9465
Practice Address - Fax:360-898-2051
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-27
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRN 00051460163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse