Provider Demographics
NPI:1174229751
Name:ATKINSON, RUTH ELLEN (CRNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ELLEN
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DOE RUN RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-9314
Mailing Address - Country:US
Mailing Address - Phone:717-664-0952
Mailing Address - Fax:717-664-0955
Practice Address - Street 1:80 DOE RUN RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545
Practice Address - Country:US
Practice Address - Phone:717-664-0952
Practice Address - Fax:717-664-0955
Is Sole Proprietor?:No
Enumeration Date:2023-02-06
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA711793363L00000X
PASP027426363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily