Individual
MS. GRACE LILY RUTKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
4235 SECOR RD BLDG 3, TOLEDO, OH 43623-4299
(419) 479-5713
Mailing address
4235 SECOR RD BLDG 3, TOLEDO, OH 43623-4231
(419) 479-5713
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0038872
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0127643
—
OH
Enumeration date
04/22/2025
Last updated
07/21/2025
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