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NPI Code Detail

MEDICARE: MRS. TRISIA S RUTTER ARNP

MEDICARE: MRS. TRISIA S RUTTER ARNP
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
1363LF0000XFamily Nurse PractitionerARNP9217669FL

General Provider Information

NPI Number : 1851585202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TRISIA S RUTTER ARNP
Provider Business Mailing Address
First Line : 157 BALTIMORE ST STE 102
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2472
Country : US
Telephone Number : 301-722-0484
Fax Number : 833-903-0130
Provider Business Practice Location Address
First Line : 1507 S TUTTLE AVE
Second Line :
City : SARASOTA
State : FL
Zip : 34239-2608
Country : US
Telephone Number : 301-722-0484
Fax Number : 833-903-0130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 11/10/2025

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