Healthcare Provider Details

I. General information

NPI: 1225388283
Provider Name (Legal Business Name): RUTH KREIS-ORKOULAS ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2012
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 E ATLANTIC BLVD
POMPANO BEACH FL
33060-6345
US

IV. Provider business mailing address

721 E ATLANTIC BLVD
POMPANO BEACH FL
33060-6345
US

V. Phone/Fax

Practice location:
  • Phone: 732-598-1777
  • Fax: 954-783-8302
Mailing address:
  • Phone: 732-598-1777
  • Fax: 954-783-8302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberARNP 9392692
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: