Rutherford, Mary Elizabeth

Rutherford, Mary Elizabeth is an sole proprietor health care provider with primary practice located at 1820 Memorial Drive Suite 101, Clarksville TN 37043-4693. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Rutherford, Mary Elizabeth can be contacted via phone (931) 553-4161.

Contact Information

Primary practice address
1820 Memorial Drive Suite 101 Clarksville TN 37043-4693
Phone: (931) 553-4161
Fax: (931) 553-4161
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X APRN7209 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X ARPN7209 Tennessee

Profile Details

NPI number 1265540850
LBN Legal business name Rutherford, Mary Elizabeth
Credentials APRN, BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 25th, 2006
Last updated Sep 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265540850 NPPES
Tennessee MEDICAID 3908530
Tennessee Other 4104879

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