Provider Demographics
NPI:1962804831
Name:MCKEE, RUTHIE MARGUERITE (RN)
Entity type:Individual
Prefix:MS
First Name:RUTHIE
Middle Name:MARGUERITE
Last Name:MCKEE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2125 JAMES AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55105-1319
Mailing Address - Country:US
Mailing Address - Phone:952-240-7861
Mailing Address - Fax:651-331-3182
Practice Address - Street 1:2125 JAMES AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55105-1319
Practice Address - Country:US
Practice Address - Phone:952-240-7861
Practice Address - Fax:651-331-3182
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN214707-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse