Organization
RUTH TAGGART, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH C TAGGART NP (OWNER)
(303) 968-4260
Entity
Organization
Contact information
Practice address
719 PARIS AVE, ROCKFORD, IL 61107-3241
(303) 968-4260
Mailing address
719 PARIS AVE, ROCKFORD, IL 61107-3241
(303) 968-4260
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/06/2018
Last updated
02/25/2019
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