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General NPI Number Information
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NPI Number | 1417298084
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Entity Type | Individual
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Provider Name | SHANA RUTKOWSKI WRIGHT CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2013
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 9517 BELLA DR
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City | DAPHNE
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State | AL
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Zip | 36526-6258
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Country | US
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Telephone | 999-999-9999
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Fax | 859-267-1919
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Provider Business Mailing Address
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Address Line | 9517 BELLA DR
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City | DAPHNE
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State | AL
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Zip | 36526-6258
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Country | US
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Telephone | 999-999-9999
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Fax | 859-267-1919
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61475963
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1-126404
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 12248-33
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 11109
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.021374
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | G164212
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License Number State | IA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 405390
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | R53960
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License Number State | ND
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Taxonomy #9
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2374862
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License Number State | MA
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