Provider Demographics
NPI:1568659399
Name:SHEETS, RUTH ANN (FNP BC)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ANN
Last Name:SHEETS
Suffix:
Gender:F
Credentials:FNP BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3584 N MESQUITE RD
Mailing Address - Street 2:
Mailing Address - City:COCHISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85606-8769
Mailing Address - Country:US
Mailing Address - Phone:520-826-4507
Mailing Address - Fax:520-826-4507
Practice Address - Street 1:3584 N MESQUITE RD
Practice Address - Street 2:
Practice Address - City:COCHISE
Practice Address - State:AZ
Practice Address - Zip Code:85606-8769
Practice Address - Country:US
Practice Address - Phone:520-826-4507
Practice Address - Fax:520-826-4507
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAP2590363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0219907Medicaid
CAPO1381Medicare UPIN
CA0219907Medicaid