Berry, Ruth Naomi
Berry, Ruth Naomi is an sole proprietor health care provider with primary practice located at 12216 Panama City Beach Pkwy Ste B , Panama City Beach FL 32407-2728. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Berry, Ruth Naomi can be contacted via phone (850) 249-0917.Contact Information
Primary practice address
12216 Panama City Beach Pkwy Ste B
Panama City Beach FL 32407-2728
Phone: (850) 249-0917
Fax: (850) 249-0971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 9344387 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 11002907 | Florida |
Profile Details
| NPI number | 1730741760 |
|---|---|
| LBN Legal business name | Berry, Ruth Naomi |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 29th, 2019 |
| Last updated | Apr 5th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730741760 | NPPES |
| Florida | MEDICAID | 104627900 |
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