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NPI Code Detail

MEDICARE: MS. RUTH KAEMMERLEN EFIRD FNP

MEDICARE: MS. RUTH KAEMMERLEN EFIRD FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner200273NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407849748
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RUTH KAEMMERLEN EFIRD FNP
Provider Business Mailing Address
First Line : 119 HOLLOW OAK DR
Second Line :
City : DURHAM
State : NC
Zip : 27713-8643
Country : US
Telephone Number : 919-490-0652
Fax Number :
Provider Business Practice Location Address
First Line : 2501 HOMESTEAD RD
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27516-9087
Country : US
Telephone Number : 919-968-2022
Fax Number : 919-968-2013
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2005
Last Update Date : 07/08/2007

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