Individual
RUTH ADAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3530 MYSTIC POINTE DR, AVENTURA, FL 33180-4541
(786) 314-3968
Mailing address
3530 MYSTIC POINTE DR, AVENTURA, FL 33180-4541
(786) 314-3968
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
9282664
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014029055
AMERICAN NURSES CREDENTIALING CENTER
FL
Enumeration date
04/07/2015
Last updated
04/07/2015
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