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Individual

MRS. INGRID A. RUPPALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 355-8983
(704) 355-8994
Mailing address
PO BOX 32861, ANESTHESIA SERVICES - 5TH FL SURGERY TOWER, CHARLOTTE, NC 28232-2861
(704) 355-8983

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
102239
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8050692
NC
05
NAN812
SC
Enumeration date
07/05/2006
Last updated
05/19/2010
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