Wright, Shana Rutkowski

Wright, Shana Rutkowski is an sole proprietor health care provider with primary practice located at 2400 Gordon Smith Dr , Mobile AL 36617-2319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wright, Shana Rutkowski can be contacted via phone (251) 473-4423.

Contact Information

Primary practice address
2400 Gordon Smith Dr Mobile AL 36617-2319
Phone: (251) 473-4423
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1-126404 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.021374 Ohio

Profile Details

NPI number 1417298084
LBN Legal business name Wright, Shana Rutkowski
Credentials CRNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2013
Last updated Mar 21st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417298084 NPPES
Ohio MEDICAID 0243692

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