IndividualActive
Coty Ruffalo
NPI 1982496691 · Community Health Worker · Lake Geneva, WI
Provider details
- NPI number
- 1982496691
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Behavior Technician106S00000X
Behavioral Health & Social Service Providers
Practice location
1885 Dodge St
Lake Geneva, WI 53147-1319
Phone: (916) 500-3649
Approximate (ZIP-level) locationGet directions
Mailing address
1885 Dodge St
Lake Geneva, WI 53147-1319
Registry dates
- Enumerated
- 2025-05-19
- Last updated
- 2025-05-19
- Certified
- 2025-05-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.