Provider Demographics
NPI:1437594538
Name:PARKER, RUTH (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:PARKER
Suffix:
Gender:F
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:
Other - Last Name:PARKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:225 VETERANS RD
Mailing Address - Street 2:SUITE202
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4436
Mailing Address - Country:US
Mailing Address - Phone:914-245-4186
Mailing Address - Fax:914-245-2290
Practice Address - Street 1:225 VETERANS RD
Practice Address - Street 2:SUITE202
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4436
Practice Address - Country:US
Practice Address - Phone:914-245-4186
Practice Address - Fax:914-245-2290
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF337747-1363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner