Healthcare Provider Details

I. General information

NPI: 1720496292
Provider Name (Legal Business Name): RUTH SCHUELER RN BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2014
Last Update Date: 07/29/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 WINNEBAGO AVE STE 3
FAIRMONT MN
56031-3646
US

IV. Provider business mailing address

820 WINNEBAGO AVE STE 3
FAIRMONT MN
56031-3646
US

V. Phone/Fax

Practice location:
  • Phone: 507-235-5999
  • Fax: 507-235-8224
Mailing address:
  • Phone: 507-235-5999
  • Fax: 507-235-8224

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License NumberR665092
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: