Individual provider · Type 1 NPI
Phil Rutledge
Infusion Therapy Registered Nurse · Jefferson City, MO
NPI number
1104780279
Active
Practice location
5402 Bus 50 W Unit 1
Jefferson City, MO 65109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Infusion Therapy Registered Nurse Primary | 163WI0500X | 2020027391 (MO) |
Infusion Therapy Registered Nurse: Definition to come...
About NPI 1104780279
Phil Rutledge's National Provider Identifier is 1104780279, issued on Dec 12, 2025. The primary taxonomy on file is Infusion Therapy Registered Nurse (163WI0500X), and the practice location is in Jefferson City, MO. The record was last updated on Dec 12, 2025.