Individual
CARRIE L. RUTLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
608 OLD ROUTE 66, SAINT ROBERT, MO 65584-3730
(573) 336-5100
(573) 336-3118
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 820-2000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2015007302
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1992183511
—
MO
Enumeration date
05/14/2015
Last updated
09/18/2015
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