Individual
MANDY RUTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN CRNA
Contact information
Practice address
3401 LUDINGTON ST, ESCANABA, MI 49829-1300
(906) 786-5707
Mailing address
8303 M.5 RD, GLADSTONE, MI 49837-9081
(501) 350-6420
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704375031
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
98697
OK
Other
Enumeration date
12/27/2011
Last updated
03/24/2026
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