Individual
MS. HOLLY JEAN RUTTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
7301 SECOR RD, LAMBERTVILLE, MI 48144-9737
(419) 479-5795
Mailing address
4235 SECOR RD, TOLEDO, OH 43623-4299
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.019430
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0182767
—
OH
Enumeration date
07/31/2016
Last updated
04/09/2025
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