Provider Demographics
NPI:1639404338
Name:KRAFT, RUTHANN LORAINE (CD, CLD, FCBE)
Entity Type:Individual
Prefix:
First Name:RUTHANN
Middle Name:LORAINE
Last Name:KRAFT
Suffix:
Gender:F
Credentials:CD, CLD, FCBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10139 DAPHNE AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-4740
Mailing Address - Country:US
Mailing Address - Phone:561-632-8469
Mailing Address - Fax:
Practice Address - Street 1:10139 DAPHNE AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4740
Practice Address - Country:US
Practice Address - Phone:561-632-8469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula