Provider Demographics
NPI:1760931448
Name:HERDY, RUTH FIGUEIRA (NP)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:FIGUEIRA
Last Name:HERDY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:FIGUEIRA
Other - Last Name:HERDY-DASILVA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1300 AVENIDA VISTA HERMOSA STE 250
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92673-6340
Mailing Address - Country:US
Mailing Address - Phone:949-240-2272
Mailing Address - Fax:
Practice Address - Street 1:1300 AVENIDA VISTA HERMOSA STE 250
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92673-6340
Practice Address - Country:US
Practice Address - Phone:949-240-2272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-23
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95004368363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily