Individual provider · Type 1 NPI

Tracy Rutherford, LPN

Licensed Practical Nurse · Rochester Hills, MI

NPI number 1255874541 Active

Practice location

1613 Star Beit Drive
Rochester Hills, MI 48309

Mailing address

9810 Nottingham Rd
Detroit, MI 48224-2553

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X470311945 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1255874541

Tracy Rutherford, LPN's National Provider Identifier is 1255874541, issued on Nov 18, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rochester Hills, MI. The record was last updated on Nov 18, 2016.