Individual
RICHARD M RUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-4673
(513) 536-0609
Mailing address
4075 OLD WESTERN ROW RD, MASON, OH 45040-3104
(513) 536-4673
(513) 536-0609
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP-08954
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000566845
ANTHEM
OH
05
—
2825518
—
OH
01
—
311175717239
CARESOURCE
OH
01
—
423363
MHN
OH
Enumeration date
05/09/2008
Last updated
02/09/2010
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