Provider Demographics
NPI:1336826007
Name:RENTERIA, RUTH MARGARET (RNFA)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:MARGARET
Last Name:RENTERIA
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1584 SANTA INEZ CT
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95340-2670
Mailing Address - Country:US
Mailing Address - Phone:209-777-0991
Mailing Address - Fax:
Practice Address - Street 1:1421 OAKDALE RD
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-3356
Practice Address - Country:US
Practice Address - Phone:209-232-2527
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA491353163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant