Ruby Godbolt
NPI #1134573728 in Windsor Mill, Maryland
Provider Information
- NPI Number
- 1134573728
- Entity Type
- Individual
- Name
- Ruby Godbolt
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Enumeration Date
- Apr 20, 2016
- Last Updated
- Apr 26, 2022
Practice Location
- Address
- 7001 JOHNNYCAKE RD STE 103
- City
- Windsor Mill
- State
- Maryland
- ZIP Code
- 21244-2419
- Phone
- (410) 304-3232
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Nurse Practitioner - Gerontology — Gerontology |
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