Individual
MS. FLO A. RUTHERFORD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1335 W TABOR RD, PHILADELPHIA, PA 19141-3040
(215) 424-0222
Mailing address
501 ROSIE LN, HATFIELD, PA 19440-1247
(215) 997-7657
(215) 997-0150
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
30027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RU787629
HIGHMARK BCBS
PA
Enumeration date
11/02/2005
Last updated
07/09/2007
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