Rutherford, Stacy Lynn

Rutherford, Stacy Lynn is an individual health care provider with primary practice located at 100 S Bliss Ave , Tahlequah OK 74464-2512. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Rutherford, Stacy Lynn can be contacted via phone (918) 458-3100.

Contact Information

Primary practice address
100 S Bliss Ave Tahlequah OK 74464-2512
Phone: (918) 458-3100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 138975 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 117919 Oklahoma
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 117919 Oklahoma

Profile Details

NPI number 1548882103
LBN Legal business name Rutherford, Stacy Lynn
Credentials DNAP
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2020
Last updated Mar 22nd, 2022 - about 3 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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