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Individual

ALLISON ELIZABETH SCHUELKE RUTELONIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BSN, MSN, FNP-C

Contact information

Practice address
1128 MEDICAL DR, TYLER, TX 75701
(903) 593-8273
Mailing address
DEPT. 453, PO BOX 1000, MEMPHIS, TN 38148-0001
(828) 575-2625
(828) 350-2174

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP138722
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1407340128
TX
01
759811
MEDICARE PTAN
TX
Enumeration date
06/16/2018
Last updated
08/15/2022
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