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MAE RUTH DOCTOR NP
NPI 1104196930
Nurse Practitioner - Family in Mcclellan, CA

Active since January 11, 2012
5342 DUDLEY BLVD, MCCLELLAN, CA 95652(916) 561-7400 Get Directions Write a Review

NPPES record last updated: January 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mae Ruth Doctor Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAE RUTH DOCTOR NP (NPI 1104196930) is an individual family provider in Mcclellan, California, licensed in California (19705) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1104196930
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMAE RUTH DOCTORCredential: NP
Location Address5342 DUDLEY BLVDMcclellan, CA 95652-1012
Mailing Address5342 Dudley BlvdMcclellan, CA 95652-1012
Phone(916) 561-7400
Sole ProprietorYes
Enumeration DateJanuary 11, 2012
✔ NPI 1104196930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 19705✔ Licensed in NV · APN001042
5342 DUDLEY BLVD, Mcclellan, CA 95652
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

USCG AIRSTA SACRAMENTO
Military Hospital (Military General Acute Care Hospital)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7568
MRS. MELLISA MARIE WILSON LCSW
Social Worker
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7708
CLARK LOMBOY NP
Nurse Practitioner (Family)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7793
MISS VALERIE CHRISTIAN FNP
Nurse Practitioner (Family)
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7511
MRS. NICHOLE MARIA HIGHTOWER M.S.
Audiologist
5342 DUDLEY BLVD, MCCLELALN PARK VAOPC (AUDIOLOGY 126)
MCCLELLAN, CA 95652
Sacramento County (916) 561-7470
RINO DIZON DO
Family Medicine
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7560
DR. SCOTT ALAN GALE M.D.
Obstetrics & Gynecology
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (916) 561-7480
JONATHAN A SOSNOV M.D.
Internal Medicine
5342 DUDLEY BLVD
MCCLELLAN, CA 95652
Sacramento County (707) 423-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mae Doctor's NPI number?

The NPI number for Mae Doctor is 1104196930. It was assigned to this individual provider in the NPPES registry on January 11, 2012.

Where is Mae Doctor located?

Mae Doctor practices at 5342 Dudley Blvd, Mcclellan, CA 95652. The listed phone number is (916) 561-7400.

What is Mae Doctor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mae Doctor was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.