Provider Demographics
NPI:1609925361
Name:MCCARTHY, RUTH CLAIRE (ARNP)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:CLAIRE
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15827 WAVERLY MNR
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33331-3466
Mailing Address - Country:US
Mailing Address - Phone:954-680-1680
Mailing Address - Fax:
Practice Address - Street 1:3200 COLLEGE AVE
Practice Address - Street 2:SD 206
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33314-7706
Practice Address - Country:US
Practice Address - Phone:954-236-1556
Practice Address - Fax:954-236-1541
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1566602363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLS58490Medicare UPIN