Provider Demographics
NPI:1245397595
Name:ZISSER, RUTH ANN (WHNP)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:ZISSER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:RUTHANN
Other - Middle Name:
Other - Last Name:KIRSCHMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:WHNP
Mailing Address - Street 1:5410 ANTIGUA CIR
Mailing Address - Street 2:
Mailing Address - City:VERO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32967-7605
Mailing Address - Country:US
Mailing Address - Phone:303-885-7240
Mailing Address - Fax:
Practice Address - Street 1:5410 ANTIGUA CIR
Practice Address - Street 2:
Practice Address - City:VERO BEACH
Practice Address - State:FL
Practice Address - Zip Code:32967-7605
Practice Address - Country:US
Practice Address - Phone:303-885-7240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-03
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0000296-NP363LW0102X
FL11008926363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health