Provider Demographics
NPI:1578581765
Name:CUMLER, RUTH ELIZABETH (PMHNP, APRN-BC)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:ELIZABETH
Last Name:CUMLER
Suffix:
Gender:F
Credentials:PMHNP, APRN-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:
Mailing Address - City:EAST WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04343-0262
Mailing Address - Country:US
Mailing Address - Phone:207-208-0925
Mailing Address - Fax:207-204-3264
Practice Address - Street 1:2402 US ROUTE 202
Practice Address - Street 2:
Practice Address - City:EAST WINTHROP
Practice Address - State:ME
Practice Address - Zip Code:04343-3100
Practice Address - Country:US
Practice Address - Phone:207-208-0925
Practice Address - Fax:207-204-3264
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MER019740363L00000X
MARN185899363LP0808X
MECNP81158363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEP37366Medicare UPIN
MENS8049Medicare ID - Type Unspecified