Individual
MISS EMILY SUANNE RUYLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
410 WILLIAMS ST, ARENA, WI 53503-9685
(608) 712-0773
Mailing address
105 CAROLINA ST, SAUK CITY, WI 53583-1619
(608) 370-2043
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
34614-031
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38348800
—
WI
Enumeration date
07/05/2006
Last updated
07/08/2007
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