Individual provider · Type 1 NPI
Ruby Godbolt
Gerontology Nurse Practitioner · Windsor Mill, MD
NPI number
1134573728
Active
Practice location
7001 Johnnycake Rd Ste 103
Windsor Mill, MD 21244-2419
Fax (410) 630-3853
Other practice locations
- 9601 Pulaski Park Dr, Suite 416, Baltimore, MD 21220-1409 · (410) 933-5678
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | R109843 (MD) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | R109843 (MD) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
Other gerontology nurse practitioner providers in Windsor Mill
About NPI 1134573728
Ruby Godbolt's National Provider Identifier is 1134573728, issued on Apr 20, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Windsor Mill, MD. The record was last updated on Apr 26, 2022.