Provider Demographics
NPI:1356680086
Name:RULAND, ABBEY M (PAC)
Entity Type:Individual
Prefix:
First Name:ABBEY
Middle Name:M
Last Name:RULAND
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:ABBEY
Other - Middle Name:M
Other - Last Name:EFFERTZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:STANLEY
Mailing Address - State:ND
Mailing Address - Zip Code:58784-0399
Mailing Address - Country:US
Mailing Address - Phone:701-628-2424
Mailing Address - Fax:
Practice Address - Street 1:615 6TH ST SE
Practice Address - Street 2:
Practice Address - City:STANLEY
Practice Address - State:ND
Practice Address - Zip Code:58784-4444
Practice Address - Country:US
Practice Address - Phone:701-628-2505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-31
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPAC0513363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant