Samara Ruder, NP-C
Nurse Practitioner, Family in Saint John, IN. Individual provider (NPI-1).
NPI number1669946489
StatusActive
Last updated in NPPESAug 2, 2023
Details
- NPI
- 1669946489
- Entity type
- Individual (NPI-1)
- Name
- Samara Ruder
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Certification date
- Aug 2, 2023
- Last updated
- Aug 2, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | F10181212 | IN | Yes |
Other names
- Samara Ruder (Professional Name)
Practice location
8183 Magoun DrSaint John, IN 46373-8888
Phone 219-798-3562
Mailing address
8183 Magoun DrSaint John, IN 46373-8888
Phone 219-798-3562
Other practice locations
2211 Roosevelt Rd
Valparaiso, IN 46383-2748
Valparaiso, IN 46383-2748
Phone 219-476-7246
201 Main St Ste A
Hobart, IN 46342-4439
Hobart, IN 46342-4439
Phone 219-476-7246
204 Legacy Plz W
La Porte, IN 46350-5285
La Porte, IN 46350-5285
Phone 219-476-7246
1928 45th St
Munster, IN 46321-3917
Munster, IN 46321-3917
Phone 219-476-7246
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