Individual
DEBORAH RUTKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 18701-1702
(570) 823-7000
(570) 823-3040
Mailing address
15 PUBLIC SQ, SUITE 600, WILKES BARRE, PA 18701-1702
(570) 823-7000
(570) 823-3040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN262312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007678420038
—
PA
05
—
1015952880004
—
PA
05
—
1015952880005
—
PA
Enumeration date
04/09/2007
Last updated
10/28/2015
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