Provider Demographics
NPI:1497509657
Name:RUTTER, LINDA DENISE
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:DENISE
Last Name:RUTTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60777 EAST ST
Mailing Address - Street 2:
Mailing Address - City:STURGIS
Mailing Address - State:MI
Mailing Address - Zip Code:49091-8332
Mailing Address - Country:US
Mailing Address - Phone:269-625-2476
Mailing Address - Fax:
Practice Address - Street 1:60777 EAST ST
Practice Address - Street 2:
Practice Address - City:STURGIS
Practice Address - State:MI
Practice Address - Zip Code:49091-8332
Practice Address - Country:US
Practice Address - Phone:269-625-2476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider