Provider Demographics
NPI:1346639887
Name:RUANE, MOLLY GERKEN (NP-C)
Entity Type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:GERKEN
Last Name:RUANE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MISS
Other - First Name:MOLLY
Other - Middle Name:
Other - Last Name:GERKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:401 CORBETT STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756
Mailing Address - Country:US
Mailing Address - Phone:727-298-1788
Mailing Address - Fax:727-298-1723
Practice Address - Street 1:401 CORBETT STREET
Practice Address - Street 2:SUITE 400
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-1405
Practice Address - Country:US
Practice Address - Phone:727-298-1788
Practice Address - Fax:727-298-1723
Is Sole Proprietor?:No
Enumeration Date:2015-01-21
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN231331363LF0000X
FLARNP9443960363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily