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Samantha Ruder, FNP-BC
Family Nurse Practitioner in Lake Station, Indiana
NPI 1578320917

Samantha Ruder is a Family Nurse Practitioner based in Valparaiso, IN and is specialized in Family. Samantha Ruder practices in Lake Station, IN and has the professional credentials of FNP-BC. The NPI Number for Samantha Ruder is 1578320917 and holds a License No. 71014964A (Indiana).

The current practice location address for Samantha Ruder is 2490 Central Ave, Lake Station, IN and can be reached out via phone at 811-221-9763.

Location: 2490 Central Ave, Lake Station, IN, 46383-6746
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578320917
Provider Name
Samantha Ruder
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
2490 Central Ave, Lake Station, IN, 46383-6746
Phone Number
811-221-9763
Fax Number
Provider Enumeration Date
03/04/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
2490 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2122
Phone Number
811-221-9763
Fax Number
person
Provider Business Mailing Address Details
Address
2490 Central Ave
City
Lake Station
State
Indiana
Zip
46405-2122
Phone Number
811-221-9763
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
71014964A (Indiana)
Definition
Definition to come...
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