Individual
MELISSA JEAN RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
1148 W BASELINE RD, MESA, AZ 85210-5971
(480) 559-3149
Mailing address
2526 N USERY PASS RD, MESA, AZ 85207-1578
(480) 980-3238
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
300743
AZ
363LF0000X
Family Nurse Practitioner
Primary
300743
AZ
Other
Enumeration date
01/25/2024
Last updated
02/27/2026
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