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Individual

KATHERINE PRESLEY RUTLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1131000
AL
363LP0200X
Pediatric Nurse Practitioner
Primary
7102
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
135715
AL
05
140290
AL
Enumeration date
12/06/2011
Last updated
07/21/2022
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