Mishele M Rutherford
Nurse Practitioner - Psychiatric/Mental Health
20508 56th Ave W
Lynnwood
, Washington 98036-7650
Mishele M Rutherford
Nurse Practitioner - Psychiatric/Mental Health
20508 56th Ave W
Lynnwood
, Washington 98036-7650
(206) 743-1020
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mishele M Rutherford
- 8210 Spokane Dr Apt 203
- Everett, WA
- Zip : 98203-6760
- Phone : (206) 743-1020
Second Address
- Mishele M Rutherford
- 20508 56th Ave W
- Lynnwood, WA
- Zip : 98036-7650
- Phone : (206) 743-1020
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP61004262 | WA |
National Provider Identifier
| NPI | 1013558030 |
|---|---|
| Provider Name | Mishele M Rutherford |
| First Address | Everett, WA 98203-6760 |
| Second Address | Lynnwood, WA 98036-7650 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/10/2019 |
| Last Update Date | 01/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.