# MRS. DEVON MARIE RUTHERFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1790066637
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 0110003616 | VA | — |
| 363A00000X | Physician Assistant | 25MP00369700 | NJ | Yes |
| 363AM0700X | Medical Physician Assistant | C0004496 | MD | — |
| 363AM0700X | Medical Physician Assistant | PA60863546 | WA | — |

## Other

- **Enumeration date:** 09/06/2011
- **Last updated:** 05/19/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17900666397 | — | NJ |