Provider Demographics
NPI:1184613325
Name:BELDA, RUTH ELLEN (NP)
Entity type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELLEN
Last Name:BELDA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 MIDLAND AVE
Mailing Address - Street 2:APT 611
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-4027
Mailing Address - Country:US
Mailing Address - Phone:970-945-9508
Mailing Address - Fax:970-945-9508
Practice Address - Street 1:2701 MIDLAND AVE
Practice Address - Street 2:APT 611
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-4027
Practice Address - Country:US
Practice Address - Phone:970-945-9508
Practice Address - Fax:970-945-9508
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81669363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08454558Medicaid
CO1565-9Medicare ID - Type UnspecifiedPROVIDER NUMBER