| Doctor Name: | RUTH MICHELLE MATKIN |
| NPI Number: | 1134423874 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DOM, RN |
| License Number: | R49349 |
| Business Practice Address: | 7120 4th St Nw Los Ranchos, NM - 871076642 |
| Business Phone Number: | 5058997095 |
| Business Fax Number: | |
| Mailing Address: | 7120 4th St Nw, LOS RANCHOS |
| State: | NM |
| Postal Code: | 871076642 |
| Phone Number: | 5058997095 |
| Fax Number: | |
| NPI Enumeration Date: | 01/10/2011 |
| NPI Last Update Date: | 01/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | R49349 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |