Individual
STACIE RUTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 435-2113
Mailing address
1215 HULTON RD, OAKMONT, PA 15139-1135
(412) 435-2113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN630080
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
10/12/2021
Last updated
10/12/2021
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