Healthcare Provider Details

I. General information

NPI: 1346608635
Provider Name (Legal Business Name): CARA RUEFLE R.N
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2016
Last Update Date: 02/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY DRIVE
PITTSBURGH PA
15240
US

IV. Provider business mailing address

220 ROSECREST DR
MONROEVILLE PA
15146-4020
US

V. Phone/Fax

Practice location:
  • Phone: 412-822-2222
  • Fax:
Mailing address:
  • Phone: 412-527-7883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN569008
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: