Individual
TAREN ASHLEY RUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
12303 DEPAUL DR, BRIDGETON, MO 63044-2512
(314) 775-2816
Mailing address
13515 BARRETT PARKWAY DR, STE 107, BALLWIN, MO 63021-5870
(314) 775-2816
(314) 775-2821
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2012005069
MO
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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