Ruffin, Kaitlin Mize

Ruffin, Kaitlin Mize is an individual health care provider with primary practice located at 91 Enterprise Dr , Rocky Mount NC 27804-9590. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ruffin, Kaitlin Mize can be contacted via phone (252) 451-3100.

Contact Information

Primary practice address
91 Enterprise Dr Rocky Mount NC 27804-9590
Phone: (252) 451-3100
Fax: (252) 937-3108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 259034 North Carolina

Profile Details

NPI number 1144741794
LBN Legal business name Ruffin, Kaitlin Mize
Credentials CPNP-PC, RN
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2017
Last updated Mar 8th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144741794 NPPES
North Carolina Other 259034 NC LICENSE
North Carolina Other NCY234A NC LICENSE
North Carolina Other 19R06 NC LICENSE
North Carolina MEDICAID 1144741794 NC LICENSE

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