Provider Demographics
NPI:1215131982
Name:RUTLEDGE, LETTY (RN, MSN)
Entity type:Individual
Prefix:MRS
First Name:LETTY
Middle Name:
Last Name:RUTLEDGE
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:MRS
Other - First Name:LETICIA
Other - Middle Name:ARACELI
Other - Last Name:RUTLEDGE MUNOZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:301 W PELICAN AVE
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-1730
Mailing Address - Country:US
Mailing Address - Phone:956-631-7403
Mailing Address - Fax:956-631-0054
Practice Address - Street 1:110 E SAVANNAH AVE
Practice Address - Street 2:SUITE A 204
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1241
Practice Address - Country:US
Practice Address - Phone:956-686-4040
Practice Address - Fax:956-630-6088
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2011-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX578336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily