Individual
PHILLIS JEWELL RUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
799 E HAMPDEN AVE STE 300, ENGLEWOOD, CO 80113-2762
(303) 788-6490
(303) 788-5451
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 563-2784
(303) 563-2781
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-10128
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01277359
—
CO
05
—
04427092
—
CO
05
—
11721758
—
CO
Enumeration date
08/04/2010
Last updated
02/09/2022
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