Individual
JEANNE WALLACE RUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2560 KNIGHTS RD, MOTHER BACHMANN MATERNITY CENTER, BENSALEM, PA 19020-3407
(215) 245-4334
(215) 245-7856
Mailing address
P.O. BOX 8500-1611, PHILADELPHIA, PA 19178-0001
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
25ME00034200
NJ
367A00000X
Advanced Practice Midwife
Primary
MW008741-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8504202
—
NJ
Enumeration date
05/18/2006
Last updated
06/19/2014
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