Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | F302503-1 | NY |
NPI | 1013031574 |
---|---|
Provider Name | Ms. Ann L Rutt |
First Address | Lancaster, PA 17601-2426 |
Second Address | Lancaster, PA 17601-2426 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 12/08/2019 |