Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | R 146399-2 | MN |
N | 363LN0000X | Nurse Practitioner - Neonatal | R22495 | ND |
NPI | 1104996578 |
---|---|
Provider Name | Ruth Ann Budd |
First Address | York, ND 58386-9304 |
Second Address | Minneapolis, MN 55454-1450 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 08/07/2007 |