Individual
MS. STEPHANIE S RUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 344-7073
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN126697
MO
367500000X
Certified Registered Nurse Anesthetist
126697
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430077091
RAILROAD MEDICARE
MO
05
—
915178602
—
MO
Enumeration date
11/10/2005
Last updated
04/03/2025
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