| Doctor Name: | MRS. RUTH ANN GROTHOUSE |
| NPI Number: | 1033209010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | C-NP |
| License Number: | RN168050 |
| Business Practice Address: | 1005 Bellefontaine Ave Suite 225 Lima, OH - 458042851 |
| Business Phone Number: | 4192296781 |
| Business Fax Number: | 4192293490 |
| Mailing Address: | 1005 Bellefontaine Ave, Suite 225 LIMA |
| State: | OH |
| Postal Code: | 458042851 |
| Phone Number: | 4192296781 |
| Fax Number: | 4192293490 |
| NPI Enumeration Date: | 10/13/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN168050 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |