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MR. MICAH VINCENT RUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
62 W 7TH AVE STE 300, SPOKANE, WA 99204-2321
(509) 474-2041
(509) 598-2139
Mailing address
PO BOX 31001-4114, PASADENA, CA 91110-0001
(866) 747-2455
(509) 598-2139

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61373214
WA
363LF0000X
Family Nurse Practitioner
PENDING
NY

Other

Enumeration date
01/03/2020
Last updated
03/20/2026
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