MEDICARE: MARGARET LYNN RUTTER MSN,RNCS,CCD,FNP-C

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	078959	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	201420	OTHER	NC	MEDICAL LICENSE NUMBER
3	078959	OTHER	NC	NURSING LICENSE

General Provider Information

NPI Number	:	1326081753
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET LYNN RUTTER MSN,RNCS,CCD,FNP-C

Provider Business Mailing Address
First Line	:	138 N FORK NEW RIVER RD
Second Line	:
City	:	LANSING
State	:	NC
Zip	:	28643-9130
Country	:	US
Telephone Number	:	336-982-1813
Fax Number	:	336-982-1313

Provider Business Practice Location Address
First Line	:	138 N FORK NEW RIVER RD
Second Line	:
City	:	LANSING
State	:	NC
Zip	:	28643-9130
Country	:	US
Telephone Number	:	336-982-1813
Fax Number	:	336-982-1313

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	09/15/2025

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