Individual
CAROLYN RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCM
Contact information
Practice address
1391 NW 136TH AVE, SUNRISE, FL 33323
(484) 302-1342
(770) 723-8620
Mailing address
1391 NW 136TH AVE, SUNRISE, FL 33323
(484) 302-1342
(770) 723-8620
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN304402L
PA
Other
Enumeration date
01/13/2022
Last updated
01/13/2022
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