| Doctor Name: | MRS. RUTH A. MINER |
| NPI Number: | 1639401706 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N., C.N.P., BS |
| License Number: | 209002528 |
| Business Practice Address: | 415 Health Department Rd Murphysboro, IL - 629666108 |
| Business Phone Number: | 6186843143 |
| Business Fax Number: | 6186871255 |
| Mailing Address: | 415 Health Department Rd, MURPHYSBORO |
| State: | IL |
| Postal Code: | 629666108 |
| Phone Number: | 6186843143 |
| Fax Number: | 6186871255 |
| NPI Enumeration Date: | 02/01/2010 |
| NPI Last Update Date: | 02/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LC1500X |
| License Number: | 209002528 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |