Individual
AMANDA D RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
85 CHESTNUT RIDGE RD, MONTVALE, NJ 07645-1827
(201) 930-1700
Mailing address
85 CHESTNUT RIDGE RD, MONTVALE, NJ 07645-1827
(201) 930-1700
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00402600
NJ
Other
Enumeration date
11/12/2012
Last updated
03/13/2018
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