Individual provider · Type 1 NPI

Kristine Lee Rutt, PNP

Pediatric Nurse Practitioner · Mesa, AZ

NPI number 1134328693 Active

Practice location

1432 S Dobson Rd
Mesa, AZ 85202-4768

Mailing address

16844 S Higley Rd
Gilbert, AZ 85295-2101

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200XRN069290 (AZ)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1134328693

Kristine Lee Rutt, PNP's National Provider Identifier is 1134328693, issued on Jul 15, 2007. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Mesa, AZ. The record was last updated on Jan 22, 2015.