Individual
MRS. KRISTIE LYNN BLAIR-RUTHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1718 E 4TH ST STE 105, CHARLOTTE, NC 28204-3193
(704) 384-7292
(704) 384-8880
Mailing address
10542 OLD BRASSLE DR, MINT HILL, NC 28227-5802
(980) 207-2004
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5004405
NC
363LF0000X
Family Nurse Practitioner
RN1091690 ARNP4785P
KY
Other
Enumeration date
02/20/2006
Last updated
03/08/2011
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