Provider Demographics
NPI:1821247511
Name:ROBERT, RUTH (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:
Last Name:ROBERT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2126 AUTUMN TRL
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75040-8936
Mailing Address - Country:US
Mailing Address - Phone:214-703-5558
Mailing Address - Fax:
Practice Address - Street 1:2126 AUTUMN TRL
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75040-8936
Practice Address - Country:US
Practice Address - Phone:214-703-5558
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2011-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX676036363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily