Ruddock, Resha

Ruddock, Resha is an individual health care provider with primary practice located at 201 E Sample Rd , Pompano Beach FL 33064-3502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ruddock, Resha can be contacted via phone (954) 485-5666.

Contact Information

Primary practice address
201 E Sample Rd Pompano Beach FL 33064-3502
Phone: (954) 485-5666
Fax: (954) 484-1651
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X APRN9280554 Florida

Profile Details

NPI number 1225495211
LBN Legal business name Ruddock, Resha
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2016
Last updated Apr 10th, 2019 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225495211 NPPES
Florida Other 110096 NBCRNA

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