Individual
RUTHETTA BANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
1350 S KINGS DR, CHARLOTTE, NC 28207-2134
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007546
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
R239428
MD
Other
Enumeration date
03/13/2015
Last updated
10/28/2022
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