Healthcare Provider Details

I. General information

NPI: 1033232012
Provider Name (Legal Business Name): RUTH ELIZABETH CUTTER N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 CATHERINE LN SUITE I
GRASS VALLEY CA
95945-5719
US

IV. Provider business mailing address

12512 INCLINE DR
AUBURN CA
95603-3508
US

V. Phone/Fax

Practice location:
  • Phone: 530-274-4111
  • Fax: 530-274-4112
Mailing address:
  • Phone: 530-889-0969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1387
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: