Provider Demographics
NPI:1437260221
Name:CONOVER, RUTH ANN (RD LD/N)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:CONOVER
Suffix:
Gender:F
Credentials:RD LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:573 NW 54TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33487-3734
Mailing Address - Country:US
Mailing Address - Phone:561-994-8212
Mailing Address - Fax:
Practice Address - Street 1:WEST PALM BEACH VA
Practice Address - Street 2:7305 NORTH MILITARY TRAIL
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6400
Practice Address - Country:US
Practice Address - Phone:561-422-8245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND1231133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered