Provider Demographics
NPI:1134285448
Name:WALKUP, RUTH CROSBY (APRN,BC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:CROSBY
Last Name:WALKUP
Suffix:
Gender:F
Credentials:APRN,BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WINTHROP UNIVERSITY HEALTH SERVICES
Mailing Address - Street 2:217 CRAWFORD BUILDING
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29733
Mailing Address - Country:US
Mailing Address - Phone:803-323-2206
Mailing Address - Fax:803-323-3332
Practice Address - Street 1:WINTHROP UNIVERSITY HEALTH SERVICES
Practice Address - Street 2:217 CRAWFORD BUILDING
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29733
Practice Address - Country:US
Practice Address - Phone:803-323-2206
Practice Address - Fax:803-323-3332
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2561363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7006019Medicaid
SCNP1271Medicaid