MEDICARE: RUTH KREIS-ORKOULAS, ARNP, PMHNP-BC, LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	ARNP9392692	FL

General Provider Information

NPI Number	:	1992226955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RUTH KREIS-ORKOULAS, ARNP, PMHNP-BC, LLC

Provider Business Mailing Address
First Line	:	721 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6345
Country	:	US
Telephone Number	:	954-783-8300
Fax Number	:	954-783-8302

Provider Business Practice Location Address
First Line	:	721 E ATLANTIC BLVD
Second Line	:
City	:	POMPANO BEACH
State	:	FL
Zip	:	33060-6345
Country	:	US
Telephone Number	:	954-783-8300
Fax Number	:	954-783-8302

Authorized Official
Title or Position	:	SOLE PROPRIETOR
Name	:	RUTH KREIS-ORKOULAS
Credential	:
Telephone Number	:	732-598-1777

Provider Enumeration Date	:	06/29/2017
Last Update Date	:	05/12/2026

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