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Individual

SUSAN E ZULLIGER RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
111 S GRANT AVE, ER DEPT, COLUMBUS, OH 43215-4701
(614) 461-3232
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
(954) 377-3042

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN.170876
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RN.170876
OHIO LICENSE
OH
Enumeration date
06/09/2008
Last updated
06/09/2008
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