Ravenscraft, Amy Ruth

Ravenscraft, Amy Ruth is an individual health care provider with primary practice located at 200 Patewood Dr Ste A200 , Greenville SC 29615-3580. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Ravenscraft, Amy Ruth can be contacted via phone (886) 445-4511.

Contact Information

Primary practice address
200 Patewood Dr Ste A200 Greenville SC 29615-3580
Phone: (886) 445-4511
Fax: (864) 454-5115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 2993 South Carolina

Profile Details

NPI number 1205974441
LBN Legal business name Ravenscraft, Amy Ruth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated May 11th, 2021 - about 4 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 1205974441 NPPES
Maryland Other 2006007465 NP CERTIFICATION
Maryland MEDICAID NP1065 NP CERTIFICATION

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