Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 000078 | CT |
NPI | 1003946906 |
---|---|
Provider Name | Ms. Margaret Ann Rux |
First Address | Storrs, CT 06269-2011 |
Second Address | Storrs, CT 06269-2011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/03/2007 |
Last Update Date | 08/07/2007 |