Provider Demographics
NPI:1750475026
Name:BISHR, RUTH MARIE (MS ARNP C)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:MARIE
Last Name:BISHR
Suffix:
Gender:F
Credentials:MS ARNP C
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:MARIE
Other - Last Name:WAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP
Mailing Address - Street 1:1001 ORIOLE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2685 HORSESHOE DRIVE SOUTH
Practice Address - Street 2:SUITE 101 VA PRIMARY CARE CLINIC
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104
Practice Address - Country:US
Practice Address - Phone:239-659-9188
Practice Address - Fax:239-659-0526
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2812452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily