Provider Demographics
NPI:1720496292
Name:SCHUELER, RUTH (RN BSN)
Entity Type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:SCHUELER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 WINNEBAGO AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:MN
Mailing Address - Zip Code:56031-3646
Mailing Address - Country:US
Mailing Address - Phone:507-235-5999
Mailing Address - Fax:507-235-8224
Practice Address - Street 1:820 WINNEBAGO AVE STE 3
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:MN
Practice Address - Zip Code:56031-3646
Practice Address - Country:US
Practice Address - Phone:507-235-5999
Practice Address - Fax:507-235-8224
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR665092163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1982702932Medicaid
MNA430029700Medicaid
MN1982702932Medicaid