1447484142 NPI number — AMANDA BROOKE RULEMAN MS, APRN, WHNP

Table of content: AMANDA BROOKE RULEMAN MS, APRN, WHNP (NPI 1447484142)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447484142 NPI number — AMANDA BROOKE RULEMAN MS, APRN, WHNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RULEMAN
Provider First Name:
AMANDA
Provider Middle Name:
BROOKE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, APRN, WHNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLAMME
Provider Other First Name:
AMANDA
Provider Other Middle Name:
BROOKE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1447484142
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7155 E 38TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVER
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80207-1630
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-832-5069
Provider Business Mailing Address Fax Number:
303-832-1410

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
921 E 14TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DENVER
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80218-1903
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-832-5069
Provider Business Practice Location Address Fax Number:
303-832-1410
Provider Enumeration Date:
05/08/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LW0102X , with the licence number:  5788 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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