Healthcare Provider Details

I. General information

NPI: 1598756892
Provider Name (Legal Business Name): RUTH E SEEMAN CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 12/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MANATEE AVE W
BRADENTON FL
34205-8610
US

IV. Provider business mailing address

5392 NEW COVINGTON DR
SARASOTA FL
34233-5221
US

V. Phone/Fax

Practice location:
  • Phone: 941-745-2727
  • Fax: 941-745-2112
Mailing address:
  • Phone: 941-350-7496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberARNP2186762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: