Individual provider · Type 1 NPI

Nicole Serice Rutherford

Community Health Worker · Calumet, MI

NPI number 1063364610 Active

Practice location

56720 Calumet Ave
Calumet, MI 49913-1904

Call (906) 483-1177 Map

Fax (906) 372-3230

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1063364610

Nicole Serice Rutherford's National Provider Identifier is 1063364610, issued on Feb 13, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Calumet, MI. The record was last updated on Feb 13, 2026.