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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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 1730741760 NPPES
Florida MEDICAID 104627900

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