Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Thomas Rutan, 390200000X

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790444859

Samuel Thomas Rutan, 390200000X is a Student in an Organized Health Care Education/Training Program in Camp Hill, Pennsylvania. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

830 Lisburn Rd Apt A
Camp Hill, PA 17011-7471
Phone: (717) 503-5929
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790444859
Entity typeIndividual (Type 1)
GenderMale
Credentials 390200000X
Sole proprietorNo
NPI enumeratedDecember 15, 2021
Last updated in NPPESDecember 15, 2021
Certification dateSeptember 1, 2021

Other providers in Camp Hill