MEDICARE: ALYSSA RUTMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11030649	FL

General Provider Information

NPI Number	:	1013866391
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYSSA RUTMAN

Provider Business Mailing Address
First Line	:	12148 FALL CREEK CT
Second Line	:
City	:	HUDSON
State	:	FL
Zip	:	34669-2887
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	28139 PASEO DR STE 165
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33543-5367
Country	:	US
Telephone Number	:	813-430-0333
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2026
Last Update Date	:	01/28/2026

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Directions to “ ALYSSA RUTMAN ” Practice Location

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