Individual
RUTH NAOMI BERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
9344387
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
11002907
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104627900
—
FL
Enumeration date
06/29/2019
Last updated
04/05/2021
Update your record
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