Individual
KIMBERLY AMELIA RUTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
810 SIXTH AVE, SANDPOINT, ID 83864-5396
(208) 265-6252
(208) 265-8214
Mailing address
810 SIXTH AVE, SANDPOINT, ID 83864-5396
(208) 265-6252
(208) 265-8214
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
78336
ID
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
AP61044089
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2171876
—
WA
Enumeration date
06/28/2019
Last updated
01/16/2024
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