Provider Demographics
NPI:1467709337
Name:YATES, RUTH A (RN)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:A
Last Name:YATES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:RUTH
Other - Middle Name:A
Other - Last Name:HRNJAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3108 S FILLMORE ST
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79110-1026
Mailing Address - Country:US
Mailing Address - Phone:806-373-9447
Mailing Address - Fax:806-373-9446
Practice Address - Street 1:3108 S FILLMORE ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79110-1026
Practice Address - Country:US
Practice Address - Phone:806-373-9447
Practice Address - Fax:806-373-9446
Is Sole Proprietor?:No
Enumeration Date:2012-08-10
Last Update Date:2014-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223841163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health