MEDICARE: RUTH M HAMPTON APRN, FNP-C

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
1	363L00000X	Nurse Practitioner	2015036520	MO
2	363LF0000X	Family Nurse Practitioner	2015036520	MO

General Provider Information

NPI Number	:	1780056895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH M HAMPTON APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 957683
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-7683
Country	:	US
Telephone Number	:	573-760-8253
Fax Number	:	314-996-4500

Provider Business Practice Location Address
First Line	:	534 MAPLE VALLEY DR
Second Line	:
City	:	FARMINGTON
State	:	MO
Zip	:	63640-1981
Country	:	US
Telephone Number	:	573-760-8253
Fax Number	:	314-996-4500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	04/13/2026

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