MRS. GRETCHEN RAE RULONG NP NPI 1124327440

NPI Information

NPI: 1124327440
Provider Name: MRS. GRETCHEN RAE RULONG, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
400 RENAISSANCE CTR STE 2600
DETROIT, MI
ZIP 48243
Phone: (855) 403-0967
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MRS. Gretchen Rae Rulong, NP is a family nurse practitioner in Detroit, MI. MRS. Gretchen Rae Rulong, NP NPI is 1124327440. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 RENAISSANCE CTR STE 2600
DETROIT, MI
ZIP 48243-599
Phone: (855) 403-0967

The NPI 1124327440 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2011 and was last updated on 10/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	0024168835	VIRGINIA	No
2	363LF0000X	Nurse Practitioner	Family	SP010658	PENNSYLVANIA	No
3	363LF0000X	Nurse Practitioner	Family	4704330546	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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