RUTH BOBERG NP NPI 1831816701

NPI Information

  • NPI: 1831816701
  • Provider Name: RUTH BOBERG, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 2060 N SHADELAND AVE STE 200
    INDIANAPOLIS, IN
    ZIP 46219
  • Phone: (317) 635-3499

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NPI Details

Ruth Boberg, NP is a family nurse practitioner in Indianapolis, IN. Ruth Boberg, NP NPI is 1831816701. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2060 N SHADELAND AVE STE 200
INDIANAPOLIS, IN
ZIP 46219-764
Phone: (317) 635-3499

The NPI 1831816701 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/21/2022 and was last updated on 1/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP2300XNurse PractitionerPrimary Care71013100AINDIANANo
2363LF0000XNurse PractitionerFamily71013100AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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