Individual
ANGELA L RUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2231 TIMBER TRL, BELLEFONTAINE, OH 43311-9036
(937) 599-3115
Mailing address
110 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.06501
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2285469
—
OH
01
—
341407259
AETNA
OH
01
—
341407259
TRICARE
—
Enumeration date
06/11/2006
Last updated
12/06/2019
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