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NPI Code Detail

MEDICARE: MRS. RUTH ANN WEINTRAUB ARNP

MEDICARE: MRS. RUTH ANN WEINTRAUB ARNP
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 PractitionerARNP 1575182FL

General Provider Information

NPI Number : 1275089294
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RUTH ANN WEINTRAUB ARNP
Provider Business Mailing Address
First Line : 5172 MASON CORBIN CT
Second Line : SUITE 1
City : FORT MYERS
State : FL
Zip : 33907-4540
Country : US
Telephone Number : 239-936-7171
Fax Number : 239-936-7455
Provider Business Practice Location Address
First Line : 5172 MASON CORBIN CT
Second Line : SUITE 1
City : FORT MYERS
State : FL
Zip : 33907-4540
Country : US
Telephone Number : 239-936-7171
Fax Number : 239-936-7455
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2016
Last Update Date : 08/30/2016

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