=====================================================
General NPI Number Information
=====================================================
NPI Number | 1720496292
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RUTH SCHUELER RN BSN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/29/2014
-----------------------------------------------------
Last Update Date | 07/29/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 820 WINNEBAGO AVE STE 3
-----------------------------------------------------
City | FAIRMONT
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56031-3646
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-235-5999
-----------------------------------------------------
Fax | 507-235-8224
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 820 WINNEBAGO AVE STE 3
-----------------------------------------------------
City | FAIRMONT
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56031-3646
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-235-5999
-----------------------------------------------------
Fax | 507-235-8224
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WH0200X
-----------------------------------------------------
Taxonomy Name | Home Health Registered Nurse
-----------------------------------------------------
License Number | R665092
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------