| Mrs Brenda Ruthruff, APRN,BC | |
|
750 Townpark Ln Nw, Kennesaw, GA 30144-5579 | |
| (404) 365-0966 | |
| Not Available |
| Full Name | Mrs Brenda Ruthruff |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 750 Townpark Ln Nw, Kennesaw, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255366852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN142969 (Georgia) | Primary |
| Entity Name | The Southeast Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brenda Ruthruff, APRN,BC 114 Lucas Dr, Acworth, GA 30102-7813 Ph: (678) 520-5885 | Mrs Brenda Ruthruff, APRN,BC 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 Ph: (404) 365-0966 |
Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827 | |
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000 | |
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205 | |
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181 | |
Shakira Lynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 N Cobb Pkwy, Kennesaw, GA 30152 Phone: 877-993-4321 | |
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273 | |
Julia Perry Wutz, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4255 Wade Green Rd Nw Ste 320, Kennesaw, GA 30144 Phone: 770-423-1316 |