Provider Demographics
NPI:1053569624
Name:YOUSSEFI, RUTH ANNA (RN, MSN, CPNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANNA
Last Name:YOUSSEFI
Suffix:
Gender:F
Credentials:RN, MSN, CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-376-3332
Mailing Address - Fax:
Practice Address - Street 1:215 W BOWERY ST STE 3500
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1024
Practice Address - Country:US
Practice Address - Phone:330-376-3332
Practice Address - Fax:330-376-2980
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20081589364SP0200X
OHAPRNCNP10193363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics