Healthcare Provider Details

I. General information

NPI: 1730408220
Provider Name (Legal Business Name): KAREN ANN RUGG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2010
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

688 FRENCHTOWN RD
EAST GREENWICH RI
02818-1824
US

IV. Provider business mailing address

10 PARK PL
NORTH KINGSTOWN RI
02852-1659
US

V. Phone/Fax

Practice location:
  • Phone: 401-736-4281
  • Fax: 401-889-5027
Mailing address:
  • Phone: 401-486-0499
  • Fax: 401-885-0284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License NumberRN26299
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN00903
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: