Provider Demographics
NPI:1245056548
Name:RUHL, ELIZABETH JANE (CRNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:JANE
Last Name:RUHL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LARKSPUR LANE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-8402
Mailing Address - Country:US
Mailing Address - Phone:717-738-0660
Mailing Address - Fax:
Practice Address - Street 1:101 LARKSPUR LANE
Practice Address - Street 2:
Practice Address - City:EPHRATA
Practice Address - State:PA
Practice Address - Zip Code:17522-8402
Practice Address - Country:US
Practice Address - Phone:717-738-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP031441363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner