Individual provider · Type 1 NPI

Mae Ruth Doctor, NP

Family Nurse Practitioner · Mcclellan, CA

NPI number 1104196930 Active

Practice location

5342 Dudley Blvd
Mcclellan, CA 95652-1012

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X19705 (CA)
Family Nurse Practitioner 363LF0000XAPN001042 (NV)

Family Nurse Practitioner: Definition to come...

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About NPI 1104196930

Mae Ruth Doctor, NP's National Provider Identifier is 1104196930, issued on Jan 11, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Mcclellan, CA. The record was last updated on Jan 11, 2012.