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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUBY GODBOLT

Active Sole Proprietor

RUBY GODBOLT is a Gerontological Nurse Practitioner healthcare provider located in WINDSOR MILL, Maryland. NPI 1134573728 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · WINDSOR MILL, MD

Registration Details

NPI Number
1134573728
Provider Type
Individual
Gender
Female
NPI Issued
Apr 20, 2016 (10.274207146171 yrs)
Last Updated
Apr 26, 2022
Licenses
R109843 (MD)
R109843 (MD)
Sole Proprietor
Yes

Practice Information

Address
7001 JOHNNYCAKE RD STE 103
WINDSOR MILL, MD, 212442419
Browse MD providers · Browse ZIP 21244
Phone
4103043232
Fax
4106303853
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in WINDSOR MILL, MD

Name Credential NPI
LARABA I ADEJO 1225762990
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.