BEVERLY A RUTLEDGE WHCNP NPI 1336125111

NPI Information

NPI: 1336125111
Provider Name: BEVERLY A RUTLEDGE, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

Address:
5000 W 36TH ST
SUITE 205
ST LOUIS PARK, MN
ZIP 55416
Phone: (952) 807-0415
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Beverly A Rutledge, WHCNP is a women's health nurse practitioner in St Louis Park, MN. Beverly A Rutledge, WHCNP NPI is 1336125111. 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:

5000 W 36TH ST
SUITE 205
ST LOUIS PARK, MN
ZIP 55416-758
Phone: (952) 807-0415
Fax: (952) 236-6461

The enumeration date for this NPI number is 12/22/2005 and was last updated on 7/29/2015.

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	363LW0102X	Nurse Practitioner	Women's Health	RUT104299027	MINNESOTA	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: 11/14/2023

NPI Synchronization or Removal

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