Provider Demographics
NPI:1659153690
Name:RUPPE, SANDRA KAYE (MSN, BSN, RN)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:KAYE
Last Name:RUPPE
Suffix:
Gender:F
Credentials:MSN, BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 CAMP CREEK RD
Mailing Address - Street 2:
Mailing Address - City:UNION MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28167-7915
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:695 W FLEMING DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-4450
Practice Address - Country:US
Practice Address - Phone:828-580-3278
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019173363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily