Individual
LEAH BLYTHE RUPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R188315
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
324703ZAN5
MEDICARE
MD
05
—
366010900
—
MD
Enumeration date
04/06/2011
Last updated
05/25/2018
Update your record
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