Henderson, Ruby Larna
Henderson, Ruby Larna is an individual health care provider with primary practice located at 550 Peachtree Street Ne Suite 1275, Atlanta GA 30308. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Henderson, Ruby Larna can be contacted via phone (404) 872-3121.Contact Information
Primary practice address
550 Peachtree Street Ne Suite 1275
Atlanta GA 30308
Phone: (404) 872-3121
Fax: (404) 872-3119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN098527 | Georgia |
Profile Details
| NPI number | 1548241557 |
|---|---|
| LBN Legal business name | Henderson, Ruby Larna |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Sep 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548241557 | NPPES |
| Georgia | MEDICAID | 000701489 |
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