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Individual

MS. ALEXANDRA MARIE RUTHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RN, PHN, AGPCNP

Contact information

Practice address
4150 CLEMENT STREET, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
4150 CLEMENT ST, SAN FRANCISCO, CA 94121-1563
(415) 221-4810

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95136326
CA
163WC1500X
Community Health Registered Nurse
558319
CA
363LA2200X
Adult Health Nurse Practitioner
95012397
CA
363LG0600X
Gerontology Nurse Practitioner
95012397
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95012397
CA

Other

Enumeration date
05/09/2019
Last updated
01/04/2024
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