Individual
MS. CARRIE ANN RUTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
123 DANIELS AVE, CONNEAUT, OH 44030-2316
(440) 265-7152
Mailing address
123 DANIELS AVE, CONNEAUT, OH 44030-2316
(440) 265-7152
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN396278
OH
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN396278
OH
Other
Enumeration date
12/27/2020
Last updated
12/30/2020
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