NPI 1063049815

Nicole Boshnakov Ruh, MDMBA

Practitioner General Practice Physician Pearl Harbor, HI

Practice location

Address: Mobile Dive and Salvage Unit One Medical Department Bldg 17 Bishop Point, Pearl Harbor, HI 96860
Phone: (716) 955-0476
Mailing address: 4494 North Palmer Road, Bethesda, MD 20889-0001

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 0101274671 (VA)

Other General Practice providers in Hawaii →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Hawaii →

Registry record

NPI: 1063049815
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Mar 2020
Record last updated: 28 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.