Individual
FAYE E. RUPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1501 HARTFORD ST, LAFAYETTE, IN 47904-2134
(765) 423-6796
Mailing address
5303 CHEVIOT PL, INDIANAPOLIS, IN 46226-3239
(317) 549-3502
Taxonomy
Speciality
Code
Description
License number
State
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
28124974A
IN
Other
Enumeration date
12/27/2012
Last updated
12/27/2012
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