Individual
MARY SAMUEL RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 WASHINGTON AVE, EVANSVILLE, IN 47713-1521
(812) 423-5195
Mailing address
100 WASHINGTON AVE, EVANSVILLE, IN 47713-1521
(812) 423-5195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28034982A
IN
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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