Rutledge, Carrie L.

Rutledge, Carrie L. is an individual health care provider with primary practice located at 608 Old Route 66 , Saint Robert MO 65584-3730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rutledge, Carrie L. can be contacted via phone (573) 336-5100.

Contact Information

Primary practice address
608 Old Route 66 Saint Robert MO 65584-3730
Fax: (573) 336-3118
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2015007302 Missouri

Profile Details

NPI number 1992183511
LBN Legal business name Rutledge, Carrie L.
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2015
Last updated Sep 18th, 2015 - about 9 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 1992183511 NPPES
Missouri MEDICAID 1992183511

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