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Regina Channell Ruffin
Family Nurse Practitioner in Griffith, Indiana
NPI 1164084133

Regina Channell Ruffin is a Family Nurse Practitioner based in Griffith, IN and is specialized in Family. Regina Channell Ruffin practices in Griffith, IN. The NPI Number for Regina Channell Ruffin is 1164084133 and holds a License No. 209019415 (Indiana).

The current practice location address for Regina Channell Ruffin is 1923 W Glen Park Ave, Griffith, IN and can be reached out via phone at 219-922-2535.

Location: 1923 W Glen Park Ave, Griffith, IN, 46319-3703
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164084133
Provider Name
Regina Channell Ruffin
Credential
Provider Entity Type
Individual
Gender
Female
Address
1923 W Glen Park Ave, Griffith, IN, 46319-3703
Phone Number
219-922-2535
Fax Number
Provider Enumeration Date
06/30/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209.019415 05 IL
institution
Provider Business Practice Location Address Details
Address
1923 W Glen Park Ave
City
Griffith
State
Indiana
Zip
46319-3703
Phone Number
219-922-2535
Fax Number
person
Provider Business Mailing Address Details
Address
1923 W Glen Park Ave
City
Griffith
State
Indiana
Zip
46319-3703
Phone Number
219-922-2535
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209019415 (Illinois)
Definition
Definition to come...
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