Provider Demographics
NPI:1104996578
Name:BUDD, RUTH ANN (NNP)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:ANN
Last Name:BUDD
Suffix:
Gender:F
Credentials:NNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4951 64TH ST NE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:ND
Mailing Address - Zip Code:58386-9304
Mailing Address - Country:US
Mailing Address - Phone:701-592-2028
Mailing Address - Fax:
Practice Address - Street 1:2450 RIVERSIDE AVE
Practice Address - Street 2:NICU
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1450
Practice Address - Country:US
Practice Address - Phone:612-273-7032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 146399-2363LN0000X
NDR22495363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal