Individual
MS. DEBRA ANNETTE RURUP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2801 S UNIVERSITY AVE, ETAS 410B, LITTLE ROCK, AR 72204-1000
(501) 569-8094
Mailing address
2801 S UNIVERSITY AVE, ETAS 410B, LITTLE ROCK, AR 72204-1000
(501) 569-8094
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R20697
AR
Other
Enumeration date
09/19/2007
Last updated
09/19/2007
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