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Individual

AMBER RUTKOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1125 OPAL CT # 1004, HAGERSTOWN, MD 21740-5934
(866) 808-6005
Mailing address
11630 HONEY RUN LN, WAYNESBORO, PA 17268-8241
(313) 333-4571

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN653777
PA
363LF0000X
Family Nurse Practitioner
Primary
R208199
MD
363LF0000X
Family Nurse Practitioner
SP021564
PA

Other

Enumeration date
02/09/2020
Last updated
01/12/2024
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