Individual
MARY ELIZABETH SALE RUKENBROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
(704) 296-4800
(704) 296-4887
Mailing address
1224 W ROOSEVELT BLVD, MONROE, NC 28110-2820
(704) 296-4800
(704) 296-4887
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172789
NC
363L00000X
Nurse Practitioner
172789
NC
363LF0000X
Family Nurse Practitioner
Primary
201952
NC
Other
Enumeration date
02/15/2007
Last updated
03/07/2023
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