=====================================================
General NPI Number Information
=====================================================
NPI Number | 1003861295
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SHARON H RUFFI ARNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2006
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2818 WEST VIRGINIA AVE
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-872-8551
-----------------------------------------------------
Fax | 813-871-3708
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2818 WEST VIRGINIA AVE
-----------------------------------------------------
City | TAMPA
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33607
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-872-8551
-----------------------------------------------------
Fax | 813-871-3708
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LX0001X
-----------------------------------------------------
Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
-----------------------------------------------------
License Number | ARNP 884323
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------