Ruth Ellen Everett, RN

Individual provider Active NPI General Practice Registered Nurse · Rives Junction, MI

NPI 1558031955 · NPPES record last updated Sep 16, 2021

Key facts

NPI
1558031955
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Registered Nurse 163WG0000X
License
4704195551 (MI)
Practice address
9195 Ford Rd
Rives Junction, MI 49277-9620
Phone
(517) 414-1480
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704195551MIMDGeneral Practice Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 4704195551 MI Yes

Addresses

Primary practice location

9195 Ford Rd
Rives Junction, MI 49277-9620

Mailing address

9195 Ford Rd
Rives Junction, MI 49277-9620
Phone (517) 414-1480

Other providers in Rives Junction, MI

All providers in Rives Junction, MI · General Practice Registered Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.