Individual
NICOLE SERICE RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56720 CALUMET AVE, CALUMET, MI 49913-1904
(906) 483-1177
(906) 372-3230
Mailing address
56720 CALUMET AVE, CALUMET, MI 49913-1904
(906) 483-1177
(906) 372-3230
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MI
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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