Individual
MS. NANCY C RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
300 E LANCASTER AVE, SUITE 306B, WYNNEWOOD, PA 19096-2139
(610) 664-7793
(610) 664-6667
Mailing address
300 E LANCASTER AVE, SUITE 306B, WYNNEWOOD, PA 19096-2139
(610) 664-7793
(610) 664-6667
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN319819L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
TP006882C
PA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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