Individual
PHYLANA K CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
915 W B ST, RUSSELLVILLE, AR 72801-3501
(479) 968-1777
(479) 967-1111
Mailing address
915 W B ST, RUSSELLVILLE, AR 72801-3501
(479) 968-1777
(470) 967-1111
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R104827
AR
Other
Enumeration date
08/03/2021
Last updated
12/13/2023
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