Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 4823 | LA |
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP09644 | LA |
NPI | 1013295344 |
---|---|
Provider Name | Ms. Rula Ruello |
First Address | Metairie, LA 70005-3762 |
Second Address | Metairie, LA 70005-3762 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2011 |
Last Update Date | 15/11/2017 |