Individual
NADIYA RUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN/ CNP
Contact information
Practice address
235 WOODLAND N, LYNN, MA 01904-1414
(781) 632-8080
Mailing address
2 GRACIE LN UNIT 2, SWAMPSCOTT, MA 01907-2357
(781) 632-8080
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2306741
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023124352
PMHNP CERTIFICATE
MA
Enumeration date
02/02/2017
Last updated
12/19/2023
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