Provider Demographics
NPI:1558409409
Name:REID, RUTH K (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:K
Last Name:REID
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 7TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1310
Mailing Address - Country:US
Mailing Address - Phone:727-894-4738
Mailing Address - Fax:727-823-6710
Practice Address - Street 1:1201 7TH AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1310
Practice Address - Country:US
Practice Address - Phone:727-894-4738
Practice Address - Fax:727-823-6710
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN340342163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY3730OtherBLUE CROSS BLUE SHEILD