Individual
MISHELE M RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
20508 56TH AVE W, LYNNWOOD, WA 98036-7650
(206) 743-1020
Mailing address
8210 SPOKANE DR APT 203, EVERETT, WA 98203-6760
(206) 743-1020
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61004262
WA
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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