1326081753 NPI number — MARGARET LYNN RUTTER MSN,RNCS,CCD,FNP-C

Table of content: MARGARET LYNN RUTTER MSN,RNCS,CCD,FNP-C (NPI 1326081753)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326081753 NPI number — MARGARET LYNN RUTTER MSN,RNCS,CCD,FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RUTTER
Provider First Name:
MARGARET
Provider Middle Name:
LYNN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN,RNCS,CCD,FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326081753
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/16/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
323 COY HAM RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LANSING
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28643-8915
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-719-7106
Provider Business Mailing Address Fax Number:
336-384-1021

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
323 COY HAM RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LANSING
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28643-8915
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-719-7106
Provider Business Practice Location Address Fax Number:
336-384-1021
Provider Enumeration Date:
06/14/2006

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: 363LF0000X , with the licence number:  078959 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 078959 . This is a "NURSING LICENSE" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 201420 . This is a "MEDICAL LICENSE NUMBER" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 7000179 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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