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RUTH ETTA ROE FNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1780980698

Individual Registrant:
 RUTH ETTA ROE FNP
Gender: F
Sole Proprietor

Location and contact information for practice:
30919 ORTEGA LANE  BIG PINE KEY, FL 33043-0562 US
Tel: 305-923-6826  Fax: --

Contact information for business:
30919 ORTEGA LANE  BIG PINE KEY, FL 33043-0562 US
Tel: 305-923-6826  Fax: --

Registration Information:
NPI: 1780980698
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FL1466682

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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