Doctor Name: | MRS. DAWN MARIE VAN RULER |
NPI Number: | 1053323345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, ARNP, CNS, FNP |
License Number: | R127266-2 |
Business Practice Address: | 1104 E College Dr Ste B Marshall, MN - 562584272 |
Business Phone Number: | 5073372923 |
Business Fax Number: | 5073372926 |
Mailing Address: | 1104 E College Dr Ste B, MARSHALL |
State: | MN |
Postal Code: | 562584272 |
Phone Number: | 5073372923 |
Fax Number: | 5073372926 |
NPI Enumeration Date: | 08/13/2006 |
NPI Last Update Date: | 01/15/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R127266-2 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |