Provider Demographics
NPI:1922094457
Name:THOMPSON, RUTH ANN (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:ANN
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:RUTH
Other - Middle Name:ANN
Other - Last Name:ARLINGTON SNIDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2004 N HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:DUNCAN
Mailing Address - State:OK
Mailing Address - Zip Code:73533-1460
Mailing Address - Country:US
Mailing Address - Phone:580-255-0500
Mailing Address - Fax:580-252-5102
Practice Address - Street 1:2004 N HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:DUNCAN
Practice Address - State:OK
Practice Address - Zip Code:73533-1460
Practice Address - Country:US
Practice Address - Phone:580-255-0500
Practice Address - Fax:580-252-1684
Is Sole Proprietor?:No
Enumeration Date:2005-09-20
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0026750363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100118660EMedicaid
5000043454OtherRAILROAD MEDICARE
OKOK402194Medicare PIN
OK100118660EMedicaid