Provider Demographics
NPI:1326081753
Name:RUTTER, MARGARET LYNN (MSN,RNCS,CCD,FNP-C)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYNN
Last Name:RUTTER
Suffix:
Gender:F
Credentials:MSN,RNCS,CCD,FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 COY HAM RD
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:NC
Mailing Address - Zip Code:28643-8915
Mailing Address - Country:US
Mailing Address - Phone:828-719-7106
Mailing Address - Fax:
Practice Address - Street 1:323 COY HAM RD
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:NC
Practice Address - Zip Code:28643-8915
Practice Address - Country:US
Practice Address - Phone:828-719-7106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC078959363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC201420OtherMEDICAL LICENSE NUMBER
NC078959OtherNURSING LICENSE
NC7000179Medicaid
NCML1093703OtherUNLIMITED DEA
NC078959OtherNURSING LICENSE
NCNCF594AMedicare PIN