Provider Demographics
NPI:1144660002
Name:RUFFIN, D'ANDREA (LPN)
Entity type:Individual
Prefix:MISS
First Name:D'ANDREA
Middle Name:
Last Name:RUFFIN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1776 W WATERFORD CT
Mailing Address - Street 2:1723
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-8397
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1776 W WATERFORD CT
Practice Address - Street 2:1723
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-8397
Practice Address - Country:US
Practice Address - Phone:330-338-8516
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN142026164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse