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MELISSA RUPPEL

Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Neonatal

Provider NPI: 1821482324

Provider Information:
 MELISSA  RUPPEL 
Gender: F
Not Sole Proprietor

Practice Location:
415 N 9TH ST SUSITE 4W16 SPRINGFIELD, IL 62702-5303 US
Tel: 217-545-8000  Fax: 217-757-6844

Business Mailing Address:
PO BOX 19676  SPRINGFIELD, IL 62794-9676 US
Tel: 217-545-8000  Fax: 217-757-6844

NPI Information:
NPI: 1821482324
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LN0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Neonatal
IL209-012630
Y363LN0005XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLAPRN11001863

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LN0005X

Type:

Classification:



Definition:



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