Most Relevant Information
Provider Data
| NPI Number: | 1003366733 |
| Provider Name: | NAOMI MUTHONI RUIRU APNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 11121-33 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 01/29/2024 |
Provider Practice Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Practice Location Phone/Fax
| Phone: | 6087827300 |
| Fax: |
Provider Mailing Location
1836 SOUTH AVE
LA CROSSE
WI
546015429
Provider Mailing Phone/Fax
| Phone: | 6087827300 |
| Fax: |