Provider Demographics
NPI:1376420406
Name:RIUTTA, NONIE DARLENE (RN)
Entity type:Individual
Prefix:
First Name:NONIE
Middle Name:DARLENE
Last Name:RIUTTA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53584 BIG TRAVERSE RIVER RD
Mailing Address - Street 2:
Mailing Address - City:LAKE LINDEN
Mailing Address - State:MI
Mailing Address - Zip Code:49945
Mailing Address - Country:US
Mailing Address - Phone:906-369-3913
Mailing Address - Fax:
Practice Address - Street 1:53584 BIG TRAVERSE RIVER RD
Practice Address - Street 2:
Practice Address - City:LAKE LINDEN
Practice Address - State:MI
Practice Address - Zip Code:49945
Practice Address - Country:US
Practice Address - Phone:906-369-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704281199163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity HealthGroup - Single Specialty